Healthcare Provider Details

I. General information

NPI: 1861331159
Provider Name (Legal Business Name): ANGELA DONISE KIRKLAND APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2026
Last Update Date: 03/25/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 DUNCAN REGIONAL LOOP
DUNCAN OK
73533-1594
US

IV. Provider business mailing address

2621 N WHISENANT DR
DUNCAN OK
73533-0911
US

V. Phone/Fax

Practice location:
  • Phone: 580-252-0100
  • Fax:
Mailing address:
  • Phone: 580-252-5300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number228225
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: