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Individual
ROGER LEE KIRKWOOD
Active
Individual
ROGER LEE KIRKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
53-75194
KS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
53-75194-031
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063728764
—
KS
Enumeration date
08/19/2010
Last updated
01/21/2026
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