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Individual

DR. DAVID L KIRKPATRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T003613
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000470755001
BLUE SHIELD OF NORTHEASTE
NY
05
01790014
NY
01
107286
BC UTICA
01
3613
WC
01
400635
MVP SELECT CARE
01
C25061
EMPIRE BLUE CROSS
NY
01
T003613
LICENSE
01
T0036131
THERAPEUTIC
Enumeration date
10/18/2005
Last updated
03/07/2023
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