Healthcare Provider Details

I. General information

NPI: 1588709588
Provider Name (Legal Business Name): JAMES R. KIRKPATRICK,, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2007
Last Update Date: 12/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1218 TROTWOOD AVE
COLUMBIA TN
38401-6406
US

IV. Provider business mailing address

1124 FRENCH TOWN LN
FRANKLIN TN
37067-4666
US

V. Phone/Fax

Practice location:
  • Phone: 931-490-7440
  • Fax: 931-490-7439
Mailing address:
  • Phone: 615-472-1256
  • Fax: 931-490-7439

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number20962
License Number StateAZ

VIII. Authorized Official

Name: JAMES RICHARD KIRKPATRICK
Title or Position: OWNER
Credential: M.D.
Phone: 520-705-6113