Individual
DEVIN SHANE KYRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1702 N 120TH ST, OMAHA, NE 68154-1379
(402) 496-1591
Mailing address
1305 E KIRK ST, HUGO, OK 74743-3601
(580) 326-9631
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7622
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/14/2022
Last updated
04/15/2025
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