MEDICARE: DR. SCOTT THOMAS KIRKPATRICK SR. DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	3457	OK

General Provider Information

NPI Number	:	1124150305
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCOTT THOMAS KIRKPATRICK SR. DC

Provider Business Mailing Address
First Line	:	300 N 5TH ST
Second Line	:
City	:	PONCA CITY
State	:	OK
Zip	:	74601-4512
Country	:	US
Telephone Number	:	580-762-1291
Fax Number	:	580-762-0379

Provider Business Practice Location Address
First Line	:	300 N 5TH ST
Second Line	:
City	:	PONCA CITY
State	:	OK
Zip	:	74601-4512
Country	:	US
Telephone Number	:	580-762-1291
Fax Number	:	580-762-0379

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/12/2007
Last Update Date	:	11/30/2023

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Directions to “ DR. SCOTT THOMAS KIRKPATRICK SR. DC” Practice Location

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