Tyler Kirk
Medical Specialty
Professional ID
- NPI: 1215216874
- PECOS ID: 0840450474
- Enrollment ID: I20120319000818
- Credential(MD, DO, DPM):
- Medical School: Southern California College Of Optometry
- Medical School Graduation Year: 2011
Medical Practices
- Organization Name:
- Group Practice ID assigned by PECOS: 2961662457
- Number of Group Practice member: 0
Location
- Address1: 423 W Main St
- Address2:
- City: Ripon
- State: California
- Zip Code: 95366
- Phone Number: (209)599-3115
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):