DR. MARVIN NORWOOD KIRK M.D. NPI 1619071024

NPI Information

NPI: 1619071024
Provider Name: DR. MARVIN NORWOOD KIRK, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
1102 B W. SOUTH STREET
BENTON, AR
ZIP 72015
Phone: (501) 776-8545
Get Directions

DR. Marvin Norwood Kirk, M.D. is a family medicine in Benton, AR. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Marvin Norwood Kirk, M.D. NPI is 1619071024. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1102 B W. SOUTH STREET
BENTON, AR
ZIP 72015-066
Phone: (501) 776-8545
Fax: (501) 776-1619

The enumeration date for this NPI number is 9/8/2006 and was last updated on 7/9/2007.

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	207Q00000X	Family Medicine		C4039	ARKANSAS	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	C4039	OTHER	ARKANSAS	STATE LISCENCE
2	52912	MEDICARE ID-TYPE UNSPECIFIED	ARKANSAS	MARVIN KIRK ID
3	C68662	MEDICARE UPIN	ARKANSAS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »