Individual
MR. KEVIN KIRKPATRICK SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1106 POPLAR PL, ROGERS, AR 72756-4249
(479) 372-6464
Mailing address
1106 POPLAR PL, ROGERS, AR 72756-4249
(479) 372-6464
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P1910122
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
236393719
—
AR
Enumeration date
08/21/2019
Last updated
09/01/2020
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