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Individual

STEPHEN PATRICK KIRKMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
L.P.C.

Contact information

Practice address
1 EL PUEBLO RANCH WAY, PUEBLO, CO 81006-2103
(719) 404-1130
(719) 544-7705
Mailing address
412 N ORCHARD AVE, CANON CITY, CO 81212-2541
(719) 404-1130
(719) 544-7705

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-2861
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
33571881
CO
Enumeration date
05/22/2007
Last updated
07/09/2007
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