Provider Demographics
NPI:1093746745
Name:KIRKPATRICK, DOROTHY S (RM, CPM)
Entity Type:Individual
Prefix:MRS
First Name:DOROTHY
Middle Name:S
Last Name:KIRKPATRICK
Suffix:
Gender:F
Credentials:RM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1526 W COLORADO AVE
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80904-4027
Mailing Address - Country:US
Mailing Address - Phone:719-660-2743
Mailing Address - Fax:719-533-0919
Practice Address - Street 1:1526 W COLORADO AVE
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80904-4027
Practice Address - Country:US
Practice Address - Phone:719-660-2743
Practice Address - Fax:719-533-0919
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2014-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO57176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife