MIKETO MICHELLE KIRK A.A., LAC
NPI 1740664648
Counselor - Addiction (Substance Use Disorder) in Wichita, KS

Active since July 10, 2015
2050 WEST 11TH ST., WICHITA, KS 67203(316) 267-5710 Get Directions Write a Review

NPPES record last updated: July 10, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Miketo Michelle Kirk A.a., Lac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIKETO MICHELLE KIRK A.A., LAC (NPI 1740664648) is an individual addiction (substance use disorder) provider in Wichita, Kansas, licensed in Kansas (680) and active in the NPI registry since July 2015.

NPPES Registry Identity

NPI1740664648
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMIKETO MICHELLE KIRKCredential: A.A., LAC
Location Address2050 WEST 11TH ST.Wichita, KS 67203
Mailing Address1902 E Looman StWichita, KS 67219-4532 · (316) 267-5710
Sole ProprietorNo
Enumeration DateJuly 10, 2015
NPI 1740664648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in KS · 680
2050 WEST 11TH ST., Wichita, KS 67203

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Miketo Kirk's NPI number?

The NPI number for Miketo Kirk is 1740664648. It was assigned to this individual provider in the NPPES registry on July 10, 2015.

Where is Miketo Kirk located?

Miketo Kirk practices at 2050 West 11th St., Wichita, KS 67203. The listed phone number is (316) 267-5710.

What is Miketo Kirk's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Miketo Kirk was last updated on July 10, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.