Individual
CASSANDRA KIRKPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 CHERRY ST, BLUEFIELD, WV 24701-3306
(304) 327-1100
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(800) 875-0136
(937) 619-4342
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20272
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000993743
BLUE CROSS BLUE SHIELD
WV
05
—
010353769
—
VA
01
—
1053646
WV DWC
WV
05
—
1802526000
—
WV
Enumeration date
07/23/2006
Last updated
06/16/2008
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