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General NPI Number Information
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NPI Number | 1689499337
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Entity Type | Organization
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Legal Business Name | KIRKPATRICK HEALTHCARE LLC
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Dates
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Enumeration Date | 11/18/2024
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Last Update Date | 11/18/2024
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Provider Practice Location Address
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Address Line | 611 HARMONY DR
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City | LAKE GENEVA
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State | WI
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Zip | 53147-8800
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Country | US
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Telephone | 262-249-1960
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Fax | 262-249-1962
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Provider Business Mailing Address
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Address Line | W8773 S AND D TOWN LINE RD
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City | DARIEN
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State | WI
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Zip | 53114-1324
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Country | US
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Telephone | 262-903-6633
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Fax | 262-429-8547
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | JENNIFER MAY KIRKPATRICK
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Credential |
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Telephone | 262-903-6633
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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