Roger Kirk

Registered Nurse · Wagoner, OK

Individual Active NPI

NPI number 1548647068

Practice location

109 S Harrill Ave
Wagoner, OK 74467-5317
Phone
(918) 485-0242

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NPI record

NPI
1548647068
Entity type
Individual (Type 1)
Enumeration date
May 5, 2015
Last updated
May 5, 2015
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Registered Nurse Primary 163W00000X 96768 OK

About Roger Kirk

Roger Kirk is a healthcare provider registered in the NPI registry with the primary taxonomy Registered Nurse (code 163W00000X). The practice location is 109 S Harrill Ave, Wagoner, OK 74467-5317. The NPI number 1548647068 was assigned on May 5, 2015 and the record was last updated on May 5, 2015.

Roger Kirk lists a license in the registry: #96768 (OK) for Registered Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Roger Kirk?

The NPI number is 1548647068.

What is the phone number of Roger Kirk?

The phone number listed for the practice location is (918) 485-0242.

Where is Roger Kirk located?

109 S Harrill Ave, Wagoner, OK 74467-5317.

What is the taxonomy code for Roger Kirk?

The primary taxonomy code is 163W00000X – Registered Nurse.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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