CHANDRA KIRK (NPI# 1083996383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083996383 |
| Entity Type | Individual |
| Full Name | CHANDRA KIRK |
| Credential | PA-C |
| Practice Address |
306 Stanaford Rd Beckley WV 25801-3142 |
| Practice Telephone | 3042375690 |
| Mailing Telephone | 3042375690 |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2015-05-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
01573 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
306 STANAFORD RD |
| City | BECKLEY |
| State | WV |
| Zip Code | 25801-3142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134128358 | Fausto Imbing | Pathology | 306 Stanaford Rd, Beckley, WV 25801-3142 | 2005-07-19 |
| 1285243048 | Holly Nicole Tonelli | Nurse Practitioner | 306 Stanaford Rd, Beckley, WV 25801-3142 | 2020-07-28 |
| 1639643422 | Kerry A Esprit | Nurse Anesthetist, Certified Registered | 306 Stanaford Rd, Beckley, WV 25801-3142 | 2019-01-15 |
| 1265933576 | April Dawn Reed | Physical Therapy Assistant | 306 Stanaford Rd, Beckley, WV 25801-3142 | 2018-02-22 |
| 1730600990 | Daisy Corro | Occupational Therapist | 306 Stanaford Rd, Beckley, WV 25801-3142 | 2017-06-28 |
| 1679012298 | Parthenia J Holly | Nurse Anesthetist, Certified Registered | 306 Stanaford Rd, Beckley, WV 25801-3142 | 2017-02-15 |
| 1184087603 | Rio Calvez Bero | Occupational Therapist | 306 Stanaford Rd, Beckley, WV 25801-3142 | 2016-04-01 |
| 1184087793 | Kenneth Lagua Adivino | Physical Therapist | 306 Stanaford Rd, Beckley, WV 25801-3142 | 2016-03-31 |
| 1316306723 | John M Lucas | Nurse Anesthetist, Certified Registered | 306 Stanaford Rd, Anesthesia Department, Beckley, WV 25801 | 2016-02-12 |
| 1316335300 | Amanda Dillen | Nurse Anesthetist, Certified Registered | 306 Stanaford Rd, Beckley, WV 25801-3142 | 2014-12-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144835190 | Misty Dawn Chambers | Psychologist | 154 Lagoon Way, Beckley, USA 25801 | 2020-09-15 |
| 1912511437 | Katherine Lynne Mcghee | Technician | 120 Schlager Dr., Beckley, WV 25801 | 2020-09-02 |
| 1255942421 | Tyesha Burger | Technician | 442 Industrial Dr, Beckley, WV 25801 | 2020-08-12 |
| 1053920553 | Angela Sanches | Case Manager/Care Coordinator | 134 Gooseberry Ln, Beckley, WV 25801 | 2020-07-30 |
| 1871119933 | Tiffani Michelle Dale | Counselor | 111 Coral Court, Apt 5, Beckley, WV 25801 | 2020-06-24 |
| 1679046049 | Liberty Dental Centers | Dentist | 102 Galleria Plaza, Beckley, WV 25801 | 2019-01-08 |
| 1952884942 | Susan Rae Rash | Nurse Practitioner | 250 Stanaford Rd Ste 203, Beckley, WV 25801 | 2018-09-14 |
| 1689169039 | Megan Rae Walker | Dentist | 3153 Robert C. Byrd Drive, Beckley, WV 25801 | 2018-06-28 |
| 1104318625 | Mountain State Vascular, Inc. | Surgery | 121 George Street, Beckley, WV 25801 | 2018-05-31 |
| 1356841100 | Harper Road Treatment Center LLC | Family Medicine | 1802 Harper Rd Ste 202, Beckley, WV 25801 | 2018-02-19 |
| Find all providers in zip 25801 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093086233 | Ashlee Marie Thomas | Physician Assistant | 379 Stanaford Road, Beckley, WV 25801-3141 | 2012-01-19 |
| 1346203957 | Richard Michael Janney | Physician Assistant | 107 Highpoint Dr, Beckley, WV 25801-8850 | 2006-04-07 |
| 1730612219 | Jessica Dunkley | Physician Assistant | 321 S Eisenhower Dr, Beckley, WV 25801-5849 | 2017-04-11 |
| 1295118206 | Danielle Denise Ashley | Physician Assistant | 94 Brookshire Ln, Beckley, WV 25801-6765 | 2015-07-08 |
| 1043641566 | Ashley Copolo | Physician Assistant | 200 Veterans Ave, Beckley, WV 25801-6444 | 2013-12-09 |
| 1841628419 | Christina Renee Mccracken | Physician Assistant | 200 Veterans Ave, Beckley, WV 25801-6444 | 2013-10-17 |
| 1073882742 | Courtney Beth Stewart | Physician Assistant | 1709 Harper Rd, Beckley, WV 25801-3311 | 2011-12-23 |
| 1386927309 | Adam John Miller | Physician Assistant | 215 Brookshire Ln, Beckley, WV 25801-6729 | 2011-09-26 |
| 1396073656 | Mintie Pritchard | Physician Assistant | 230 George St Ste 2, Beckley, WV 25801-2620 | 2009-11-25 |
| 1295982684 | Garland R Ward IIi | Physician Assistant | 224 Professional Park, Beckley, WV 25801-3624 | 2008-08-27 |
| Find all providers in BECKLEY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.