Dr. Kenneth John Kirk
Geriatric Medicine
6506 E 89th Pl
Tulsa
, Oklahoma 74133-5009
Dr. Kenneth John Kirk
Geriatric Medicine
6506 E 89th Pl
Tulsa
, Oklahoma 74133-5009
(918) 592-2377
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About
Features
Specialties
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Kenneth John Kirk
- 6506 E 89th Pl
- Tulsa, OK
- Zip : 74133-5009
- Fax : (918) 592-2377
- Phone : (918) 494-2051
Second Address
- Dr. Kenneth John Kirk
- 6506 E 89th Pl
- Tulsa, OK
- Zip : 74133-5009
- Fax : (918) 592-2377
- Phone : (918) 494-2051
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0300X | Geriatric Medicine | 15217 | OK |
National Provider Identifier
| NPI | 1073521332 |
|---|---|
| Provider Name | Dr. Kenneth John Kirk |
| First Address | Tulsa, OK 74133-5009 |
| Second Address | Tulsa, OK 74133-5009 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/08/2006 |
| Last Update Date | 01/11/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| D42559 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.