| Roger Kirk, | |
|
109 S Harrill Ave, Wagoner, OK 74467-5317 | |
| (918) 485-0242 | |
| Not Available |
| Full Name | Roger Kirk |
|---|---|
| Gender | Male |
| Speciality | Registered Nurse |
| Location | 109 S Harrill Ave, Wagoner, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548647068 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 96768 (Oklahoma) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Roger Kirk, 109 S Harrill Ave, Wagoner, OK 74467-5317 Ph: () - | Roger Kirk, 109 S Harrill Ave, Wagoner, OK 74467-5317 Ph: (918) 485-0242 |
Anastasia Deroussel, NP Registered Nurse Medicare: Medicare Enrolled Practice Location: 1202 W Cherokee St Ste G, Wagoner, OK 74467 Phone: 918-914-5533 Fax: 918-485-6020 | |
Vicki S. Harris, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 8291 N 40th St E, Wagoner, OK 74467 Phone: 918-441-8311 | |
Elizabeth Farar, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 109 S Harrill Ave, Wagoner, OK 74467 Phone: 918-485-0242 |