MIKETO MICHELLE KIRK A.A. LAC NPI 1740664648

NPI Information

  • NPI: 1740664648
  • Provider Name: MIKETO MICHELLE KIRK, A.A., LAC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 2050 WEST 11TH ST.
    WICHITA, KS
    ZIP 67203
  • Phone: (316) 267-5710

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NPI Details

Miketo Michelle Kirk, A.A., LAC is an addiction (substance use disorder) counselor in Wichita, KS. Miketo Michelle Kirk, A.A., LAC NPI is 1740664648. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2050 WEST 11TH ST.
WICHITA, KS
ZIP 67203
Phone: (316) 267-5710

The enumeration date for this NPI number is 7/10/2015 and was last updated on 7/10/2015.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)680KANSASYes

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: 11/21/2025

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