Provider Demographics
NPI:1679708754
Name:KIRK, STEVE THOMAS (MD)
Entity type:Individual
Prefix:DR
First Name:STEVE
Middle Name:THOMAS
Last Name:KIRK
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1540 SUNDAY DR
Mailing Address - Street 2:RALEIGH NEUROLOGY
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27607-6010
Mailing Address - Country:US
Mailing Address - Phone:919-719-8834
Mailing Address - Fax:919-582-0528
Practice Address - Street 1:4111 BEN FRANKLIN BLVD
Practice Address - Street 2:RALEIGH NEUROLOGY
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27704-2141
Practice Address - Country:US
Practice Address - Phone:919-719-8834
Practice Address - Fax:919-582-0528
Is Sole Proprietor?:No
Enumeration Date:2009-05-19
Last Update Date:2021-04-01
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Provider Licenses
StateLicense IDTaxonomies
NC2010-017802084S0012X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2076793Medicare PIN