Individual
KIRK ADDISON CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., CF-SLP
Contact information
Practice address
12316 HIDDEN FOREST BLVD, OKLAHOMA CITY, OK 73142-2536
(405) 603-6622
(405) 722-3244
Mailing address
12316 HIDDEN FOREST BLVD, OKLAHOMA CITY, OK 73142-2536
(405) 603-6622
(405) 722-3244
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
CF474
OK
Other
Enumeration date
08/08/2022
Last updated
08/08/2022
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