Individual
MATTHEW KIRKENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
13872 HUMMINGBIRD CIR, CHOCTAW, OK 73020-7114
(405) 255-5458
Mailing address
13872 HUMMINGBIRD CIR, CHOCTAW, OK 73020-7114
(405) 255-5458
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
R0096674
OK
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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