Individual
MRS. ASHTYNNE KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
9428 NW 86TH ST, YUKON, OK 73099-9310
(918) 284-3279
Mailing address
9428 NW 86TH ST, YUKON, OK 73099-9310
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2440
OK
Other
Enumeration date
03/11/2021
Last updated
03/11/2021
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