Gregory Kirby
Peer Specialist in Sapulpa, OK. Individual provider (NPI-1).
NPI number1124619655
StatusActive
Last updated in NPPESApr 3, 2026
Details
- NPI
- 1124619655
- Entity type
- Individual (NPI-1)
- Name
- Gregory Kirby
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 27, 2021
- Certification date
- Apr 3, 2026
- Last updated
- Apr 3, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | OK | Yes |
| 374K00000X | Religious Nonmedical Practitioner | – | – | |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | OK |
Practice location
11680 S 153rd West AveSapulpa, OK 74066-8564
Phone 918-639-4684 · Fax 918-512-6320
Mailing address
11680 S 153rd West AveSapulpa, OK 74066-8564
Phone 918-512-6273 · Fax 918-512-6320
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All 53 Peer Specialist providers in Sapulpa · All 831 providers in Sapulpa
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