Individual provider
DR. KRISTINE K VAN KIRK, M.D.
CMS NPPES lists DR. KRISTINE K VAN KIRK as an individual provider record with NPI 1003078148. The current record reports a primary practice location in CHEYENNE, WY and primary taxonomy code 207QA0505X.
Type 1 NPIs identify individual healthcare providers. How to read this profile
01
Practice locations
- Primary practice location6015 SYCAMORE RDCHEYENNE, WY 820094347
Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.
02
Taxonomy information
207QA0505XPrimary reported taxonomy2083B0002XAdditional reported taxonomy
Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.
03
NPI record information
- NPI status
- Enumerated in NPPES
- Enumeration date
- June 30, 2008
An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.