Individual
NORA L KIRKPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4511 ZEBE AVE, CHUBBUCK, ID 83202-4707
(208) 904-4780
(208) 904-4832
Mailing address
4511 ZEBE AVE, CHUBBUCK, ID 83202-4707
(208) 904-4780
(208) 904-4832
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110004220
VA
363A00000X
Physician Assistant
05-29277
KS
363A00000X
Physician Assistant
1852
OK
363AM0700X
Medical Physician Assistant
Primary
PA-1754
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200271010A
—
KS
Enumeration date
02/28/2006
Last updated
12/08/2022
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