Kirk, Clint Forrest

Kirk, Clint Forrest is an individual health care provider with primary practice located at 110 Nw 31St 2Nd Floor , Lawton OK 73505. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Kirk, Clint Forrest can be contacted via phone (580) 357-3671.

Contact Information

Primary practice address
110 Nw 31St 2Nd Floor Lawton OK 73505
Phone: (580) 357-3671
Fax: (580) 357-1256
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 3331 Oklahoma

Profile Details

NPI number 1306882980
LBN Legal business name Kirk, Clint Forrest
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Jan 21st, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306882980 NPPES
Oklahoma Other 5433409 FIRST HEALTH CCN
Oklahoma Other 731612928 FIRST HEALTH CCN
Oklahoma Other P00007143 FIRST HEALTH CCN
Oklahoma Other 8608608002 FIRST HEALTH CCN
Oklahoma Other 731612928 FIRST HEALTH CCN
Oklahoma MEDICAID 100169700B FIRST HEALTH CCN
Oklahoma Other 5433409 FIRST HEALTH CCN
Oklahoma Other 2012060 FIRST HEALTH CCN
Oklahoma Other 731612928 FIRST HEALTH CCN
Oklahoma Other 731612928001 FIRST HEALTH CCN

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