Healthcare Provider Details

I. General information

NPI: 1093746745
Provider Name (Legal Business Name): DOROTHY S. KIRKPATRICK RM, CPM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 09/23/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1526 W COLORADO AVE
COLORADO SPRINGS CO
80904-4027
US

IV. Provider business mailing address

1526 W COLORADO AVE
COLORADO SPRINGS CO
80904-4027
US

V. Phone/Fax

Practice location:
  • Phone: 719-660-2743
  • Fax: 719-533-0919
Mailing address:
  • Phone: 719-660-2743
  • Fax: 719-533-0919

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number57
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: