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Individual

MS. AGNES K KIRKPATRICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
220 TILLERY LANE, LOT 746, MT GILEAD, NC 27306
(980) 399-1704
(704) 919-0595
Mailing address
PO BOX 38233, CHARLOTTE, NC 28278-1003
(980) 399-1704
(704) 919-0595

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
372600000X
Adult Companion
373H00000X
Day Training/Habilitation Specialist
374T00000X
Religious Nonmedical Nursing Personnel
374U00000X
Home Health Aide
376J00000X
Homemaker
376K00000X
Nurse's Aide

Other

Enumeration date
07/02/2025
Last updated
07/02/2025
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