MR. ROGER WAYNE KIRK CRNP NPI 1790947620

NPI Information

NPI: 1790947620
Provider Name: MR. ROGER WAYNE KIRK, CRNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
1340 HIGHWAY 231 S STE 1
TROY, AL
ZIP 36081
Phone: (334) 770-7337
Get Directions

MR. Roger Wayne Kirk, CRNP is a pediatrics nurse practitioner in Troy, AL. MR. Roger Wayne Kirk, CRNP NPI is 1790947620. 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:

1340 HIGHWAY 231 S STE 1
TROY, AL
ZIP 36081-012
Phone: (334) 770-7337
Fax: (334) 770-7339

The NPI 1790947620 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/1/2008 and was last updated on 2/17/2012.

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	363LP0200X	Nurse Practitioner	Pediatrics	1-079245	ALABAMA	Yes

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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