Search › Oklahoma › 175T00000X
Gregory Kirby
NPI 1124619655 · on the registry since 2021
Practice
- Address
- 11680 S 153rd West Ave
Sapulpa, OK 74066 - Phone
- (918) 639-4684
- Fax
- (918) 512-6320
- Organisation at this address
- Lifegate Freedom Recovery Ministries, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 25
Registry record
- Primary taxonomy
- 175T00000X
175T00000X
- Also registered as
- 374K00000X
261QM0801X - Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-04-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma