Jared Robert Kirkham
Sports Medicine
3801 University Lake Dr Suite 300
Anchorage
, Alaska 99508-4658
Jared Robert Kirkham
Sports Medicine
3801 University Lake Dr Suite 300
Anchorage
, Alaska 99508-4658
(907) 762-6365
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About
Features
Specialties
- Sports Medicine
Languages spoken
- English
Location
First Address
- Jared Robert Kirkham
- 3801 University Lake Dr Suite 300
- Anchorage, AK
- Zip : 99508-4658
- Phone : (907) 762-6365
Second Address
- Jared Robert Kirkham
- 3801 University Lake Dr Suite 300
- Anchorage, AK
- Zip : 99508-4658
- Phone : (907) 762-6365
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2081S0010X | Sports Medicine | 7978 | AK |
| Y | 213ES0000X | Sports Medicine | 7978 | AK |
National Provider Identifier
| NPI | 1144544107 |
|---|---|
| Provider Name | Jared Robert Kirkham |
| First Address | Anchorage, AK 99508-4658 |
| Second Address | Anchorage, AK 99508-4658 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/03/2010 |
| Last Update Date | 16/06/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1610529 | (05) | AK |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.