Basic Information
| Provider Information | |||||||||
| NPI: | 1679708754 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KIRK | ||||||||
| FirstName: | STEVE | ||||||||
| MiddleName: | THOMAS | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1540 SUNDAY DR | ||||||||
| Address2: | RALEIGH NEUROLOGY | ||||||||
| City: | RALEIGH | ||||||||
| State: | NC | ||||||||
| PostalCode: | 276076010 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9197198834 | ||||||||
| FaxNumber: | 9195820528 | ||||||||
| Practice Location | |||||||||
| Address1: | 4111 BEN FRANKLIN BLVD | ||||||||
| Address2: | RALEIGH NEUROLOGY | ||||||||
| City: | DURHAM | ||||||||
| State: | NC | ||||||||
| PostalCode: | 277042141 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9197198834 | ||||||||
| FaxNumber: | 9195820528 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/19/2009 | ||||||||
| LastUpdateDate: | 04/01/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/01/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084S0012X | 2010-01780 | NC | N | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Sleep Medicine | 2084N0400X | 2010-01780 | NC | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Neurology |
No ID Information.