National Provider Identifier
Judy R Kirk, MS RD CON
Judy R Kirk, MS RD CON is listed in the NPPES registry with a primary specialty of Registered Dietitian in Penn Yan, NY and a listed phone number of (315) 536-5515.
Profile Overview
- NPI
- 1891708046
- Provider Type
- Individual
- Primary Specialty
- Registered Dietitian
- Enumeration Date
- August 15, 2006
- Last Updated
- July 08, 2007
Practice Location
- 417 Liberty St
- Ste 1116
- Penn Yan, NY 14527
Phone: (315) 536-5515
Mailing Address
- 417 Liberty Street
- Ste 1116
- Penn Yan, NY 14527-1124
Specialties
- Registered Dietitian (133V00000X)
Full Record
- NPI
- 1891708046
- Entity Type
- Individual
- Last Name
- Kirk
- First Name
- Judy
- Middle Name
- R
- Name Prefix
- Mrs.
- Credential
- MS RD CON
- Mailing Street Address
- 417 Liberty Street
- Mailing Address Line 2
- Ste 1116
- Mailing City
- Penn Yan
- Mailing State
- NY
- Mailing ZIP Code
- 14527-1124
- Mailing Country
- US
- Mailing Phone
- (315) 536-5515
- Mailing Fax
- (315) 536-5514
- Practice Street Address
- 417 Liberty St
- Practice Address Line 2
- Ste 1116
- Practice City
- Penn Yan
- Practice State
- NY
- Practice ZIP Code
- 14527
- Practice Country
- US
- Practice Phone
- (315) 536-5515
- Enumeration Date
- August 15, 2006
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Dietitian (133V00000X)