Provider Demographics
NPI:1134491780
Name:KIRN, SARAH BETH (DC)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:BETH
Last Name:KIRN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1107 W BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:THREE RIVERS
Mailing Address - State:MI
Mailing Address - Zip Code:49093-8376
Mailing Address - Country:US
Mailing Address - Phone:269-273-6712
Mailing Address - Fax:269-273-3436
Practice Address - Street 1:1107 W BROADWAY ST
Practice Address - Street 2:
Practice Address - City:THREE RIVERS
Practice Address - State:MI
Practice Address - Zip Code:49093-8376
Practice Address - Country:US
Practice Address - Phone:269-273-6712
Practice Address - Fax:269-273-3436
Is Sole Proprietor?:No
Enumeration Date:2012-01-28
Last Update Date:2012-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009901111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor