Individual
JARED ROBERT KIRKHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4100 LAKE OTIS PKWY STE 108, ANCHORAGE, AK 99508-5230
(907) 563-3145
(833) 464-5196
Mailing address
4100 LAKE OTIS PKWY STE 108, ANCHORAGE, AK 99508-5230
(907) 563-3145
(833) 464-5196
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
MEDS7978
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1610529
—
AK
Enumeration date
03/19/2010
Last updated
11/27/2023
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