Individual
DR. ASHLEY KATHERINE KIRKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1509 STATE ST, LA PORTE, IN 46350-3115
(219) 326-5700
(219) 326-8131
Mailing address
1509 STATE ST, LA PORTE, IN 46350-3115
(219) 326-5700
(219) 326-8131
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01074789A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
151020340
MEDICARE PTAN
IN
05
—
201310950
—
IN
Enumeration date
08/07/2012
Last updated
09/16/2020
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