1. Home
  2. Directory
  3. NPI Profile

KALLEA KIRK L.P.N.
NPI 1225563398
Licensed Practical Nurse in Taberg, NY

Active since April 26, 2017
9790 GLENMORE RD, TABERG, NY 13471(315) 335-0906 Get Directions Write a Review

NPPES record last updated: April 26, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kallea Kirk L.p.n. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KALLEA KIRK L.P.N. (NPI 1225563398) is an individual licensed practical nurse in Taberg, New York, licensed in New York (307144-1) and active in the NPI registry since April 2017.

NPPES Registry Identity

NPI1225563398
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameKALLEA KIRKCredential: L.P.N.
Location Address9790 GLENMORE RDTaberg, NY 13471-2028
Mailing Address9790 Glenmore RdTaberg, NY 13471-2028 · (315) 335-0906
Phone(315) 335-0906
Sole ProprietorYes
Enumeration DateApril 26, 2017
✔ NPI 1225563398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 307144-1
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
9790 GLENMORE RD, Taberg, NY 13471
Open in Google Maps ↗

Other Names 1

Former Name (1)Kallea Clark L.p.n.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kallea Kirk's NPI number?

The NPI number for Kallea Kirk is 1225563398. It was assigned to this individual provider in the NPPES registry on April 26, 2017. The provider is also known as Kallea Clark L.P.N..

Where is Kallea Kirk located?

Kallea Kirk practices at 9790 Glenmore Rd, Taberg, NY 13471. The listed phone number is (315) 335-0906.

What is Kallea Kirk's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Kallea Kirk was last updated on April 26, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.