Individual
WANDA G. KIRKPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2451 FILLINGIM ST, MASTIN BLDG, MOBILE, AL 36617-2238
(251) 470-5890
(251) 471-7925
Mailing address
PO BOX 40480, MOBILE, AL 36640-0480
(251) 470-5842
(251) 470-5809
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
4445
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00126105
—
MS
01
—
31-10068
UNITED HEALTH CARE
AL
01
—
51010910
BLUE CROSS
AL
Enumeration date
06/02/2006
Last updated
04/09/2008
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