Individual
CHELSEA KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16400 N MAY AVE, EDMOND, OK 73013-8971
(405) 471-6800
Mailing address
440 NW 22ND ST, OKLAHOMA CITY, OK 73103-1504
(405) 630-0559
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
97330
OK
Other
Enumeration date
12/08/2014
Last updated
09/04/2015
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