Individual
JACOB KIRKPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1000 E PARK BLVD STE 120, BOISE, ID 83712-7793
(208) 381-4100
(208) 381-4101
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
8274584-1204
UT
207R00000X
Internal Medicine Physician
Primary
MRO-2229
ID
Other
Enumeration date
03/20/2023
Last updated
05/14/2026
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