Individual
MARTHA KAY KIRKPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
8870 YOUREE DR, SHREVEPORT, LA 71115-2512
(318) 798-6300
(318) 798-6309
Mailing address
8870 YOUREE DR, SHREVEPORT, LA 71115-2512
(318) 798-6300
(318) 798-6309
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
Z10472
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5CN91
PROVIDER NUMBER
LA
Enumeration date
09/14/2006
Last updated
07/08/2007
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