Provider Demographics
NPI:1407006513
Name:COURY, KIRK ANNIS (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:KIRK
Middle Name:ANNIS
Last Name:COURY
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 CARE CIR
Mailing Address - Street 2:SUITE A
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79124-2139
Mailing Address - Country:US
Mailing Address - Phone:806-354-2424
Mailing Address - Fax:806-354-9479
Practice Address - Street 1:10 CARE CIR
Practice Address - Street 2:SUITE A
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79124-2139
Practice Address - Country:US
Practice Address - Phone:806-354-2424
Practice Address - Fax:806-354-9479
Is Sole Proprietor?:No
Enumeration Date:2008-09-25
Last Update Date:2008-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXY00669501223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics