Healthcare Provider Details

I. General information

NPI: 1003690967
Provider Name (Legal Business Name): MEGHAN KIRKPATRICK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2023
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 WILCOX ST
CASTLE ROCK CO
80104-1730
US

IV. Provider business mailing address

20889 PRAIRIE SONG DR
PARKER CO
80138-3173
US

V. Phone/Fax

Practice location:
  • Phone: 303-387-9999
  • Fax:
Mailing address:
  • Phone: 520-236-8909
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSLP.0005914
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: