Kristy Kirk
Individual provider Active NPI Case Manager/Care Coordinator · Maxwelton, WV
NPI 1235905936 · NPPES record last updated Mar 19, 2024
Key facts
- NPI
- 1235905936
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 804 Industrial Park Rd
Maxwelton, WV 24957-8066 - Phone
- (304) 497-0500
- Fax
- (304) 497-0516
- NPI assigned
- Dec 4, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2084P0800X | WV | MD | Psychiatry Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 2084P0800X | WV | |
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
804 Industrial Park Rd
Maxwelton, WV 24957-8066
Mailing address
804 Industrial Park Rd
Maxwelton, WV 24957-8066
Phone (304) 497-0500
Other providers in Maxwelton, WV
- Alexis Jones
- Martha Jones
- Derek Kashola
- Kathryn Dayle Keaton
- Kristen Kenney
- Skyler Dawn Lambert
- Wesley Landis
- Courtney Brooke Lindsey
- Ashley Renee Mandeville
- Samantha Mann
All providers in Maxwelton, WV · Case Manager/Care Coordinator in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.