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Individual

DR. DAREN L KIRK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
8514 N 128TH EAST AVE, OWASSO, OK 74055-6242
(918) 272-6200
(918) 274-3724
Mailing address
12302 E 86TH ST N, OWASSO, OK 74055-2543
(918) 272-6200
(918) 274-3724

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3374
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
612649700
US DEPT OF LABOR
OK
01
OK700861
INDIVIDUAL PTAN
OK
Enumeration date
11/15/2006
Last updated
04/15/2025
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