Individual
DR. EDWARD FREEMAN KIRKPATRICK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
307 REED ST, PORTLAND, TN 37148-0410
(615) 325-4466
Mailing address
PO BOX 410, 307 REED ST, PORTLAND, TN 37148-0410
(615) 325-4466
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS0000001691
TN
Other
Enumeration date
12/09/2006
Last updated
07/08/2007
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