Organization
ALLEN R KIRKPATRICK DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLEN KIRKPATRICK DDS (OWNER)
(509) 397-4077
Entity
Organization
Contact information
Practice address
116 N MAIN ST, COLFAX, WA 99111-1801
(509) 397-4077
(509) 397-6766
Mailing address
116 N MAIN ST, COLFAX, WA 99111-1801
(509) 397-4077
(509) 397-6766
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
DE00005276
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05513
WDS
WA
05
—
5551304
—
WA
Enumeration date
08/24/2016
Last updated
08/24/2016
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