Most Relevant Information
Provider Data
| NPI Number: | 1003539859 |
| Provider Name: | EMMA KIRK |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 2021024674 |
Most Important Dates
| Enumeration Date: | 09/26/2022 |
| Last Updated: | 09/26/2022 |
Provider Practice Location
668 SE BAYBERRY LN STE 105
LEES SUMMIT
MO
640634366
Practice Location Phone/Fax
| Phone: | 8162874040 |
| Fax: |
Provider Mailing Location
8434 MAURER RD APT 1328
LENEXA
KS
662192784
Provider Mailing Phone/Fax
| Phone: | 8162691713 |
| Fax: |