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1285624478 NPI number — DAVID A KIRKMAN MD

NPI Number: 1285624478
Health Care Provider/Practitioner: DAVID A KIRKMAN MD

Information about “1285624478” NPI (DAVID A KIRKMAN MD) exists in 1285624478 in HTML format HTML  |  1285624478 in plain Text format TXT  |  1285624478 in PDF (Portable Document Format) PDF  |  1285624478 in an XML format XML  formats.

NPI Number : 1285624478 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1285624478",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KIRKMAN",
    "FirstName": "DAVID",
    "MiddleName": "A",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1325 N 600 E STE 102",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LOGAN",
    "MailingAddressStateName": "UT",
    "MailingAddressPostalCode": "84341-6744",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "435-753-9999",
    "MailingAddressFaxNumber": "435-753-2301",
    "FirstLinePracticeLocationAddress": "1325 NO 600E",
    "SecondLinePracticeLocationAddress": "#102",
    "PracticeLocationAddressCityName": "LOGAN",
    "PracticeLocationAddressStateName": "UT",
    "PracticeLocationAddressPostalCode": "84341",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "435-753-9999",
    "PracticeLocationAddressFaxNumber": "435-753-2301",
    "EnumerationDate": "10/27/2005",
    "LastUpdateDate": "01/09/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207V00000X",
          "TaxonomyName": "Obstetrics & Gynecology Physician",
          "LicenseNumber": "18853",
          "LicenseNumberStateCode": "AZ",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207V00000X",
          "TaxonomyName": "Obstetrics & Gynecology Physician",
          "LicenseNumber": "7871387",
          "LicenseNumberStateCode": "ID",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207V00000X",
          "TaxonomyName": "Obstetrics & Gynecology Physician",
          "LicenseNumber": "56921151205",
          "LicenseNumberStateCode": "UT",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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