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General NPI Number Information
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NPI Number | 1518585355
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Entity Type | Individual
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Provider Name | KENDALL KIRK
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Gender | Female
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Dates
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Enumeration Date | 07/08/2020
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 393 ROLLING WOOD HILLS DR
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City | DURANT
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State | OK
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Zip | 74701-1732
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Country | US
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Telephone | 580-916-8251
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Fax | 580-745-0299
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Provider Business Mailing Address
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Address Line | 701 N WASHINGTON AVE
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City | DURANT
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State | OK
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Zip | 74701-7018
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Country | US
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Telephone | 580-924-4010
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Fax | 580-924-0977
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP143908
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R0101182
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License Number State | OK
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