Demetrius Kirk, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

4704326423 Issued in MI

Practice address

30075 Spain
Romulus, MI 48174

Phone

(313) 595-9010

Fax

(800) 886-4196

NPI assigned

Aug 3, 2017

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1750806469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30075 SPAIN ST",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "481743146",
            "telephone_number": "313-595-9010",
            "fax_number": "800-886-4196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30075 SPAIN",
            "city": "ROMULUS",
            "state": "MI",
            "postal_code": "48174",
            "telephone_number": "313-595-9010",
            "fax_number": "800-886-4196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRK",
        "first_name": "DEMETRIUS",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704326423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas C Kackmeister, PTA
• Pamela Ann Kaczor, FNP
• Malaika Kelley
• Kemp Transportation
• Key 2 Key Maternity Inc
• Kayla Kirk
• Elizabeth Kirshner, NP
• Robin Kiser
• Renee Kish, LMSW
• Chavella Knight

• Registered Nurse in Romulus, MI
• Providers in Romulus, MI by specialty
• Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.