Individual
DR. MICHAEL R KIRKE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
15672 W MAPLE RD, OMAHA, NE 68116-8147
(402) 965-3603
(402) 965-3603
Mailing address
15672 W MAPLE RD, OMAHA, NE 68116-8147
(402) 965-3603
(402) 965-3603
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6037
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05052
BCBS
NE
05
—
47082162500
—
NE
Enumeration date
11/22/2005
Last updated
07/08/2007
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