Provider Demographics
NPI:1730972837
Name:KIRK, ERIN (DAC, LAC)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:KIRK
Suffix:
Gender:F
Credentials:DAC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 RTE 47 N REAR CROW
Mailing Address - Street 2:
Mailing Address - City:CAPE MAY COURT HOUSE
Mailing Address - State:NJ
Mailing Address - Zip Code:08210-1323
Mailing Address - Country:US
Mailing Address - Phone:267-979-6952
Mailing Address - Fax:
Practice Address - Street 1:650 TOWN BANK RD
Practice Address - Street 2:
Practice Address - City:CAPE MAY
Practice Address - State:NJ
Practice Address - Zip Code:08204-4417
Practice Address - Country:US
Practice Address - Phone:267-979-6952
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA171100000X
NY171100000X
NJ171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist