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1063950160
KACY MIKALA KIRK
TULLAHOMA, TN
NPI
1063950160
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: TN 22311)
Enumeration Date
2017-02-08
Last Update Date
2021-11-12
Business Address
KACY MIKALA KIRK NP
1803 N JACKSON ST
TULLAHOMA, TN 37388-2201
Phone number: 931-455-3400
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Mailing Address
KACY MIKALA KIRK NP
183 ROBERTS CREEK CIR
MANCHESTER, TN 37355-3690
Phone number: 931-607-2531
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