MARVELETTA KIRK NPI 1497022081

NPI Information

NPI: 1497022081
Provider Name: MARVELETTA KIRK
Classification: Rehabilitation Practitioner - 225400000X
Entity Type: Individual
Address:
6530 ANNIE OAKLEY DR
512
HENDERSON, NV
ZIP 89014
Phone: (702) 239-6125
Get Directions

Marveletta Kirk is a rehabilitation practitioner in Henderson, NV. The provider is a health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. Marveletta Kirk NPI is 1497022081. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6530 ANNIE OAKLEY DR
512
HENDERSON, NV
ZIP 89014-167
Phone: (702) 239-6125
Fax: (702) 825-4873

The enumeration date for this NPI number is 11/26/2011 and was last updated on 8/1/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225400000X	Rehabilitation Practitioner				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	NV20111675665	MEDICAID	NEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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