Individual
TAMMI SUE KIRKPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2506 ABBEY RD, CAPE GIRARDEAU, MO 63701-1527
(573) 651-4042
Mailing address
2506 ABBEY RD, CAPE GIRARDEAU, MO 63701-1527
(573) 651-4042
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2005000363
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2005000363
MISSOURI LICENSE NUMBER
MO
Enumeration date
09/17/2009
Last updated
09/17/2009
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