Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD435479 | PA |
N | 208000000X | Pediatrician | MT190986 | PA |
N | 208D00000X | General Practice Physician | MD435479 | PA |
NPI | 1013114354 |
---|---|
Provider Name | Dr. Thanh G Kirkpatrick |
First Address | Rockland, DE 19723-0191 |
Second Address | Bryn Mawr, PA 19010-3121 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2007 |
Last Update Date | 24/03/2010 |