CANDACE KIRK NPI 1972959757

NPI Information

  • NPI: 1972959757
  • Provider Name: CANDACE KIRK
  • Classification: Non-emergency Medical Transport (VAN) - 343900000X
  • Entity Type: Individual
  • Address: 4680 WAVERLY FARMS RD
    MILLINGTON, TN
    ZIP 38053
  • Phone: (901) 616-3126

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NPI Details

Candace Kirk is a non emergency medical transport van in Millington, TN. The provider is a land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. Candace Kirk NPI is 1972959757. 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:

4680 WAVERLY FARMS RD
MILLINGTON, TN
ZIP 38053-146
Phone: (901) 616-3126

The enumeration date for this NPI number is 5/10/2016 and was last updated on 5/10/2016.

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
1172A00000XDriver115003584TENNESSEENo
2343900000XNon-emergency Medical Transport (VAN)115003584TENNESSEEYes

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
1Q020829MEDICAIDTENNESSEE

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: 11/21/2025

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