Individual
KENNETH J KIRKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1812 S J ST STE 120, TACOMA, WA 98405-4965
(253) 428-2200
(253) 428-2299
Mailing address
1812 S J ST STE 120, TACOMA, WA 98405-4965
(253) 428-2200
(253) 428-2299
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00019013
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1005644
—
WA
Enumeration date
09/29/2006
Last updated
04/15/2021
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