Individual
DR. KIRK F HOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2109 N KICKAPOO AVE, SHAWNEE, OK 74804-2732
(405) 275-2020
(405) 275-4129
Mailing address
PO BOX 1845, SHAWNEE, OK 74802-1845
(405) 275-2020
(405) 275-4129
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
150885
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100764300A
—
OK
Enumeration date
09/06/2006
Last updated
11/04/2008
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