Provider Demographics
NPI:1548310014
Name:KIRK, DONNA M (APRN)
Entity type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:M
Last Name:KIRK
Suffix:
Gender:F
Credentials:APRN
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Mailing Address - Street 1:9200 SHELBYVILLE RD
Mailing Address - Street 2:STE 530
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40222-5144
Mailing Address - Country:US
Mailing Address - Phone:502-327-9100
Mailing Address - Fax:855-632-8329
Practice Address - Street 1:2100 MILLVALE RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40205-1604
Practice Address - Country:US
Practice Address - Phone:502-451-0990
Practice Address - Fax:502-459-1018
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2017-12-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KY3004346363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health