Individual
ROGER LEE KIRKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
2601 ANDERSON AVE STE 202, MANHATTAN, KS 66502-2809
(316) 691-8504
Mailing address
2601 ANDERSON AVE STE 202, MANHATTAN, KS 66502-2809
(785) 648-1659
(949) 863-8565
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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