NPI 1003318726
Larissa Dyan Kirk
Practice location
- Address
- 1631 E 2nd St, Austin, TX 78702-4490
- Phone
- (512) 455-7787
- Mailing address
- 1430 Collier St, Austin, TX 78704-2911
Registered specialties
Licensed Practical Nurse
Primary
Registry record
- NPI
- 1003318726
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 8 Mar 2018
- Record last updated
- 8 Mar 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.