Organization
MARY C KIRK MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY CAROLYN KIRK MD (PRESIDENT)
(918) 236-3000
Entity
Organization
Contact information
Practice address
6465 S YALE AVE, SUITE 310, TULSA, OK 74136-7823
(918) 236-3000
(918) 236-3060
Mailing address
6465 S YALE AVE, SUITE 310, TULSA, OK 74136-7823
(918) 236-3000
(918) 236-3060
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
17797
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100100910A
—
OK
01
—
243334201
MEDICARE RX
—
Enumeration date
10/18/2010
Last updated
09/27/2012
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