Individual
STEPHANIE MARIE KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3445 S SHERIDAN RD, TULSA, OK 74145-1105
(918) 610-3366
(918) 610-3344
Mailing address
713 GARY ST, SALINA, OK 74365-3231
(918) 373-3146
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
36824
OK
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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