Individual
KIRK BAGWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MED. SLP
Contact information
Practice address
6128 E 38TH ST STE 400, TULSA, OK 74135-5808
(918) 835-8691
Mailing address
6128 E 38TH ST STE 400, TULSA, OK 74135-5808
(918) 835-8691
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2724
OK
Other
Enumeration date
04/10/2017
Last updated
04/10/2017
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