KACY MIKALA KIRK

TULLAHOMA, TN
NPI1063950160
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: TN  22311)
Enumeration Date2017-02-08
Last Update Date2021-11-12
Business Address
KACY MIKALA KIRK NP
1803 N JACKSON ST
TULLAHOMA, TN 37388-2201
Phone number: 931-455-3400
Mailing Address
KACY MIKALA KIRK NP
183 ROBERTS CREEK CIR
MANCHESTER, TN 37355-3690
Phone number: 931-607-2531