KIRK MEDICAL CLINIC – NPI #1982811543
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

KIRK MEDICAL CLINIC is a provider located in BENTON, AR. NPPES has assigned the NPI number 1982811543 to KIRK MEDICAL CLINIC on May 16, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 16 years ago on Nov 03, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KIRK MEDICAL CLINIC below.

NPI Profile for
KIRK MEDICAL CLINIC

NPI Number
1982811543
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KIRK MEDICAL CLINIC
Primary location
1102 WEST SOUTH ST SUITE B
BENTON, AR 72015
Phone: (501) 776-8545 Fax: (501) 776-1619
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARVIN KIRK
OWNER
Phone: (501) 776-8545
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
AR C4039

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.