Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIRK PETRIE, RRT
Active Sole ProprietorKIRK PETRIE, RRT is a 2279P3900X healthcare provider located in LYNCHBURG, Virginia. NPI 1093339459 is currently active in the NPPES registry. Verify at CMS.
2279P3900X · LYNCHBURG, VA
Registration Details
- NPI Number
- 1093339459
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 2, 2020 (6.1582560126466 yrs)
- Last Updated
- Jun 2, 2020
- Licenses
-
0117003639 (VA)0117003639 (VA)0117003639 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
808 WIGGINGTON RD STE ELYNCHBURG, VA, 245025155Browse VA providers · Browse ZIP 24502
- Phone
- 4343854001
- Fax
- 4343851003
- Primary Specialty
-
2279P3900X
2279P3900X
- Additional Specialty
- 2279H0200X
- Additional Specialty
- 2279P3900X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.