Individual
ROBERT WAYNE KIRKPATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2580 MICHIGAN RD, STE 2, MADISON, IN 47250-2423
(812) 265-6222
(812) 265-2955
Mailing address
2580 MICHIGAN RD, STE 2, MADISON, IN 47250-2423
(812) 265-6222
(812) 265-2955
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001749
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000042676
ANTHEM
IN
01
—
005398
SIHO
—
05
—
100148580
—
IN
01
—
351957465050
CARESOURCE
IN
01
—
410047137
RAILROAD MEDICARE
—
01
—
QMXPR0070032
MOLINA
—
Enumeration date
08/11/2006
Last updated
10/25/2011
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