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Individual

JANE D. KIRKPATRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
181 DANIEL RD, FOREST CITY, NC 28043-7151
(828) 286-9036
(828) 286-1079
Mailing address
PO BOX 602148, CHARLOTTE, NC 28260-2148
(828) 286-9036
(828) 286-1079

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9500971
NC
207RH0003X
Hematology & Oncology Physician
9500971
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110140191
RAILROAD MEDICARE
NC
05
1568563633
NC
01
48140
BC/BS OF NC
NC
05
8948140
NC
05
N00974
SC
Enumeration date
09/25/2006
Last updated
01/11/2017
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