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Individual

KYLE KIRKPATRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
11600 W 2ND PL, ST. ANTHONY HOSPITAL, EMERGENCY DEPT., LAKEWOOD, CO 80228-1527
(720) 321-4161
(720) 321-4165
Mailing address
PO BOX 5788, DENVER, CO 80217-5788
(303) 202-1280
(303) 202-1281

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2229
CO
363AM0700X
Medical Physician Assistant
PA04370
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
83707522
CO
01
8N8386
BCBS
TX
Enumeration date
07/10/2006
Last updated
08/14/2013
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