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General NPI Number Information
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NPI Number | 1659597417
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Entity Type | Organization
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Legal Business Name | KIRK CHIROPRACTIC, P.C.
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 8514 N 128TH EAST AVE
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City | OWASSO
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State | OK
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Zip | 74055-6242
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Country | US
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Telephone | 918-272-6200
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Fax | 918-274-3724
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Provider Business Mailing Address
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Address Line | 8514 N 128TH EAST AVE
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City | OWASSO
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State | OK
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Zip | 74055-6242
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Country | US
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Telephone | 918-272-6200
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Fax | 918-274-3724
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. HOLLY MADENE KIRK
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Credential |
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Telephone | 918-272-6200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 3374
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License Number State | OK
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