MEDICARE: ZACHARY ALAN KIRKPATRICK

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	174M00000X	Veterinarian	0301207277	VA

General Provider Information

NPI Number	:	1174462436
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZACHARY ALAN KIRKPATRICK

Provider Business Mailing Address
First Line	:	711 GODFREY CT SE
Second Line	:
City	:	LEESBURG
State	:	VA
Zip	:	20175-8909
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	NAVAL SUPPORT ACTIVITY
Second Line	:
City	:	GRICIGNANO DI AVERSA
State	:	CASERTA
Zip	:	81030
Country	:	IT
Telephone Number	:
Fax Number	:

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

Provider Enumeration Date	:	03/25/2026
Last Update Date	:	03/25/2026

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