Individual
MR. KIRK KOYAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, PHN, MSN, CNS
Contact information
Practice address
HWY 191, HOSPITAL DR., CHINLE, AZ 86503-0220
(928) 674-7184
Mailing address
PO BOX 220, CHINLE, AZ 86503-0220
(928) 674-7184
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
511644
CA
364SC1501X
Community Health/Public Health Clinical Nurse Specialist
Primary
2218
CA
Other
Enumeration date
03/30/2007
Last updated
09/11/2025
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