| NPI | 1194045369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA KIRK Owner 731-614-5464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: TN DPM0000000687) |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2010-06-10 |