Individual
TOM S KIRKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
510 W 11TH ST, BICKNELL, IN 47512-9626
(812) 735-4040
(812) 735-3332
Mailing address
510 W 11TH ST, BICKNELL, IN 47512-9626
(812) 735-4040
(812) 735-3332
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01036106A
IN
Other
Enumeration date
07/14/2005
Last updated
08/20/2020
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