Individual
NIKKI KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 S TUCKER DR, TULSA, OK 74104-9700
(918) 631-5000
Mailing address
12465 N PUMPKIN HOLW, PROCTOR, OK 74457-3223
(918) 316-0601
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
OK
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
OK
Other
Enumeration date
08/26/2025
Last updated
08/26/2025
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