Provider Demographics
NPI:1144845553
Name:KIRK, WILLIAM GENE (RRT)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:GENE
Last Name:KIRK
Suffix:
Gender:M
Credentials:RRT
Other - Prefix:MR
Other - First Name:WILLIAM
Other - Middle Name:GENE
Other - Last Name:KIRK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RRT
Mailing Address - Street 1:300 CORPORATE BLVD S # 10701
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-6862
Mailing Address - Country:US
Mailing Address - Phone:914-294-6300
Mailing Address - Fax:
Practice Address - Street 1:215 LINCOYA BAY DR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37214-2676
Practice Address - Country:US
Practice Address - Phone:615-525-1796
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-11
Last Update Date:2020-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5218227900000X
TN227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredGroup - Single Specialty