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WILLIAM D. KIRK M.D., PLLC
NPI 1417043886
Nurse Practitioner - Family in Lebanon, KY

Active since October 05, 2006CLIA 18D0320438 · Waiver
312 W HIGH ST, LEBANON, KY 40033(270) 692-9559(270) 692-9236 Get Directions Write a Review

NPPES record last updated: October 6, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About William D. Kirk M.d., Pllc NPPES

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

WILLIAM D. KIRK M.D., PLLC (NPI 1417043886) is a healthcare organization registered as a family in Lebanon, Kentucky and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through March 24, 2028 and lists William Deadrick Kirk, Owner, as its authorized official.

NPPES Registry Identity

NPI1417043886
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameWILLIAM D. KIRK M.D., PLLC
Location Address312 W HIGH STLebanon, KY 40033-1428
Mailing Address312 W High StLebanon, KY 40033-1428 · (270) 692-9559 · Fax (270) 692-9236
Phone(270) 692-9559
Fax(270) 692-9236
Organization SubpartNo
Authorized OfficialWilliam Deadrick KirkOwner · (270) 692-9559
Enumeration DateOctober 5, 2006
Last NPPES UpdateOctober 6, 2015
✔ NPI 1417043886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 26011
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
Also ListedFamily MedicineTaxonomy 207Q00000X · License 26011 (KY)
Also ListedInternal MedicineTaxonomy 207R00000X · License 26011 (KY)
312 W HIGH ST, Lebanon, KY 40033
Open in Google Maps ↗

Other Identifiers 6

Other50001390KY · Passport
Medicaid78903242KY
Medicare UPINC74393KY
Other2442987001KY · Passport Advantage
Medicare PINK011721
Medicaid9590111200KY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D0320438

William D Kirk MD PLLC · Lebanon, KY
Active · expires Mar 24, 2028
CLIA Number18D0320438
Laboratory TypePhysician Office
Certificate Effective DateMarch 25, 2026
Certificate Expiration DateMarch 24, 2028
Laboratory DirectorDr. William D. Kirk
Laboratory Phone(270) 692-9559
Laboratory LocationWilliam D Kirk MD PLLC312 West High Street, Lebanon, KY 40033
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PJ PERSSON, PSC
Surgery
312 W HIGH ST
LEBANON, KY 40033
Marion County (270) 692-9559
ABIGAIL PORTER APRN
Nurse Practitioner (Family)
312 W HIGH ST
LEBANON, KY 40033
Marion County (270) 692-9559
DERHONDA MAE THOMPSON APRN
Nurse Practitioner (Family)
312 W HIGH ST
LEBANON, KY 40033
Marion County (270) 692-9559
DR. JOSEPH SHERMAN LEAKE JR. PSY.D., LP
Psychologist (Clinical)
312 W HIGH ST
LEBANON, KY 40033
Marion County (270) 692-9559
BETTER WAY THERAPY, PLLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
312 W HIGH ST
LEBANON, KY 40033
Marion County (502) 523-8044
ABIGAIL HAGAN SOUTHALL NURSE PRACTITIONER
Nurse Practitioner (Family)
312 W HIGH ST
LEBANON, KY 40033
Marion County (270) 692-9559
DR. WILLIAM DEADRICK KIRK M.D.
Internal Medicine
312 W HIGH ST
LEBANON, KY 40033
Marion County (270) 692-9559

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 William D. Kirk M.D., PLLC's NPI number?

The NPI number for William D. Kirk M.D., PLLC is 1417043886. It was assigned to this organization in the NPPES registry on October 5, 2006.

Where is William D. Kirk M.D., PLLC located?

William D. Kirk M.D., PLLC is located at 312 W High St, Lebanon, KY 40033. The listed phone number is (270) 692-9559.

What is William D. Kirk M.D., PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does William D. Kirk M.D., PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D0320438) is associated with this NPI, valid through March 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does William D. Kirk M.D., PLLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list William D. Kirk M.D., PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for William D. Kirk M.D., PLLC was last updated on October 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.