Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 036-104485 | IL |
N | 111NI0900X | Internist | 036-104485 | IL |
N | 207R00000X | Internist | MD60589898 | WA |
N | 111NI0900X | Internist | MD60589898 | WA |
N | 207RC0000X | Internist - Cardiovascular Disease | MD429897 | PA |
Y | 207RC0000X | Internist - Cardiovascular Disease | MD60589898 | WA |
NPI | 1023055803 |
---|---|
Provider Name | Dr. James N Kirkpatrick |
First Address | Seattle, WA 98145-5095 |
Second Address | Seattle, WA 98195-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2006 |
Last Update Date | 01/10/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1023055803 | (05) | WA |
BK7487893 | DEA (01) |