Provider Demographics
NPI:1093940181
Name:VOLKER, KIRK M (MD)
Entity Type:Individual
Prefix:
First Name:KIRK
Middle Name:M
Last Name:VOLKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:63 THOMAS JOHNSON DR
Mailing Address - Street 2:STE A
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702-4389
Mailing Address - Country:US
Mailing Address - Phone:410-351-3376
Mailing Address - Fax:
Practice Address - Street 1:1165 IMPERIAL DR
Practice Address - Street 2:SUITE 200
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21740-6555
Practice Address - Country:US
Practice Address - Phone:443-351-3376
Practice Address - Fax:410-384-7259
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-19
Last Update Date:2018-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0076177207NS0135X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology