Individual
AMANDA KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
106 1/2 SE 2ND, ANTLERS, OK 74523-0000
(580) 298-1199
(580) 298-1199
Mailing address
106 1/2 SE 2ND, ANTLERS, OK 74523-0000
(580) 298-1199
(580) 298-1199
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/16/2013
Last updated
04/16/2013
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