Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ally Brogan Kirk

Individual provider Physician Assistant · NPI 1588433510

Ally Brogan Kirk is a Physician Assistant in Logan, West Virginia. Qualified in 2024, 2 years ago. Practices as a sole proprietor.

Years since qualifying
2
In the registry since
2024
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Practice location Address checks out

400 Hudgins St Unit 504
Logan, WV 25601-3577
Phone: (304) 688-8028
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1588433510
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 2, 2024
Last updated in NPPESJanuary 2, 2024
Certification dateJanuary 2, 2024
Mailing address400 Hudgins St Unit 504, Logan, WV 25601-3577

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

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