Individual
KENNETH KIRKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3387 S US HIGHWAY 41, TERRE HAUTE, IN 47802-4188
(812) 232-5532
(812) 232-2574
Mailing address
3387 S US HIGHWAY 41 STE 1200, TERRE HAUTE, IN 47802-4188
(812) 232-5532
(812) 232-2574
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01043002A
IN
2083X0100X
Occupational Medicine Physician
01043002A
IN
Other
Enumeration date
03/21/2007
Last updated
06/12/2023
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