Smith, Kirk M.

Smith, Kirk M. is an individual health care provider with primary practice located at 4909 Se Mills Ave , Lawton OK 73501-8705. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Smith, Kirk M. can be contacted via phone (580) 890-0545.

Contact Information

Primary practice address
4909 Se Mills Ave Lawton OK 73501-8705
Phone: (580) 890-0545
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 23307 Oklahoma
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 23307 Oklahoma

Profile Details

NPI number 1023008653
LBN Legal business name Smith, Kirk M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated Mar 8th, 2013 - about 11 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 1023008653 NPPES
Oklahoma MEDICAID 200019910A
Oklahoma Other 800522535

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