CHARLES EDWARD KIRK

BUCKLAND, AK
NPI1205104825
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
(Licence: AK  04-677-P)
Enumeration Date2011-12-09
Last Update Date2011-12-09
Business Address
Mr. CHARLES EDWARD KIRK CHP
9 HILLSIDE ROAD 86
BUCKLAND, AK 99727
Phone number: 907-494-2122
Mailing Address
Mr. CHARLES EDWARD KIRK CHP
9 HILLSIDE ROAD BOX 86
BUCKLAND, AK 99727
Phone number: 907-494-2122