| Doctor Name: | KIRK EDWARD GOLD |
| NPI Number: | 1104880269 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | KG001886 |
| Business Practice Address: | 2075 E West Maple Rd Suite B-207 Commerce Township, MI - 483903816 |
| Business Phone Number: | 2486693870 |
| Business Fax Number: | 2486693866 |
| Mailing Address: | 2075 E West Maple Rd, Suite B-207 COMMERCE TOWNSHIP |
| State: | MI |
| Postal Code: | 483903816 |
| Phone Number: | 2486693870 |
| Fax Number: | 2486693866 |
| NPI Enumeration Date: | 04/14/2006 |
| NPI Last Update Date: | 10/23/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | KG001886 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |