Individual
DR. JOHN VINCENT KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
19600 E ROSS ST, TAHLEQUAH, OK 74464-0545
(539) 234-4100
(539) 234-4201
Mailing address
19600 E ROSS ST, TAHLEQUAH, OK 74464-0545
(539) 234-4100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4781
OK
207Q00000X
Family Medicine Physician
OP60394340
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2079922
—
WA
Enumeration date
07/18/2007
Last updated
05/02/2025
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