Individual
LISA MARIE KIRKPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P A C
Contact information
Practice address
1120 GREENE ST, ADEL, IA 50003-1712
(515) 993-4656
(515) 993-4532
Mailing address
2213 GRAND AVE, DES MOINES, IA 50312-5305
(515) 237-3974
(515) 883-2692
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001860
IA
Other
Enumeration date
12/28/2007
Last updated
12/28/2007
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