Individual
MRS. VERONICA ANTONIA KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 W GORE BLVD, LAWTON, OK 73505-6332
(580) 355-8620
Mailing address
1002 2ND ST, CHATTANOOGA, OK 73528-2634
(580) 574-0307
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
136689
OK
Other
Enumeration date
02/18/2022
Last updated
02/18/2022
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