Provider Demographics
NPI:1235900861
Name:KIRKWOOD, NIGEL
Entity Type:Individual
Prefix:MR
First Name:NIGEL
Middle Name:
Last Name:KIRKWOOD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3101 NW 150TH ST APT 30B
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73134-2022
Mailing Address - Country:US
Mailing Address - Phone:405-986-3572
Mailing Address - Fax:
Practice Address - Street 1:3101 NW 150TH ST APT 30B
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73134-2022
Practice Address - Country:US
Practice Address - Phone:405-986-3572
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-11
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist