Roger Kirk

NPI #1548647068 in Wagoner, Oklahoma

Provider Information

NPI Number: 1548647068
Entity Type: Individual
Name: Roger Kirk
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Registered Nurse
Enumeration Date: May 5, 2015
Last Updated: May 5, 2015

Practice Location

Address: 109 S HARRILL AVE
City: Wagoner
State: Oklahoma
ZIP Code: 74467-5317
Phone: (918) 485-0242

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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