Individual
CHASITY KIRKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 N MAIN ST, KINGFISHER, OK 73750-2730
(405) 424-7711
Mailing address
12486 N 2900 RD, DOVER, OK 73734-5908
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/19/2023
Last updated
05/19/2023
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