MR. JOHNNY MARK KIRK LADC NPI 1407979958

NPI Information

NPI: 1407979958
Provider Name: MR. JOHNNY MARK KIRK, LADC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
3604 N CINCINNATI
TULSA, OK
ZIP 74106
Phone: (918) 425-4200
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MR. Johnny Mark Kirk, LADC is a mental health counselor in Tulsa, OK. MR. Johnny Mark Kirk, LADC NPI is 1407979958. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3604 N CINCINNATI
TULSA, OK
ZIP 74106-536
Phone: (918) 425-4200
Fax: (918) 425-4202

The enumeration date for this NPI number is 4/9/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	582	OKLAHOMA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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