Individual
JOSEPH CLARY KIRKPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
RR 103 SUPPLY STREET, GARY, WV 24836-0507
(304) 448-2101
(304) 448-3217
Mailing address
PO BOX 507, RR 103 SUPPLY STREET,, GARY, WV 24836-0507
(304) 448-2101
(304) 448-3217
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
0102206396
VA
208D00000X
General Practice Physician
0102206396
VA
208D00000X
General Practice Physician
Primary
2675
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810025232
—
WV
Enumeration date
06/04/2009
Last updated
01/22/2021
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