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NPI Code Detail

MEDICARE: KERRY KIRKMAN MD PA

MEDICARE: KERRY KIRKMAN MD PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology PhysicianL7776TX

General Provider Information

NPI Number : 1003857855
Entity Type Code : Organization
Provider Name (Legal Business Name) : KERRY KIRKMAN MD PA
Provider Business Mailing Address
First Line : 21216 NORTHWEST FWY
Second Line : STE 520
City : CYPRESS
State : TX
Zip : 77429-4695
Country : US
Telephone Number : 281-955-7900
Fax Number : 281-955-0700
Provider Business Practice Location Address
First Line : 21216 NORTHWEST FWY
Second Line : STE 520
City : CYPRESS
State : TX
Zip : 77429-4695
Country : US
Telephone Number : 281-955-7900
Fax Number : 281-955-0700
Authorized Official
Title or Position : DIRECTOR
Name : KERRY KIRKMAN
Credential : MD
Telephone Number : 281-955-0700
Provider Enumeration Date : 06/10/2006
Last Update Date : 03/27/2008

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Directions to “KERRY KIRKMAN MD PA ” Practice Location

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