NPI 1043930225

Brandon Kirk, BSPRSS

Practitioner Peer Specialist Williamson, WV

Practice location

Address: 859 Alderson St Fl 3, Williamson, WV 25661-3215
Phone: (855) 671-2411
Mailing address: 22 W 5th Ave, Williamson, WV 25661-3202

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence 22-907 (WV)

Other Peer Specialist providers in West Virginia →

Registry record

NPI: 1043930225
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Aug 2022
Record last updated: 30 Aug 2022

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.