NPI 1700362142

John Harris Kirkley, JD

Practitioner Health Educator Bridgeport, CT

Practice location

Address: 250 Myrtle Ave Ofc 204, Bridgeport, CT 06604-7762
Phone: (203) 258-2265

Registered specialties

Health Educator Primary

Other Service Providers Taxonomy 174H00000X

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Registry record

NPI: 1700362142
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Jul 2018
Record last updated: 18 Jul 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.