| Doctor Name: | TIMOTHY A KIRK |
| NPI Number: | 1871686782 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | SC004605L |
| Business Practice Address: | 5th And Montgomery Suite 102 Boyertown, PA - 195121300 |
| Business Phone Number: | 6103677000 |
| Business Fax Number: | 6103674559 |
| Mailing Address: | 5th And Montgomery, Suite 102 BOYERTOWN |
| State: | PA |
| Postal Code: | 195121300 |
| Phone Number: | 6103677000 |
| Fax Number: | 6103674559 |
| NPI Enumeration Date: | 10/02/2006 |
| NPI Last Update Date: | 04/22/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | SC004605L |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |