Provider Demographics
NPI:1275055246
Name:KIRKMAN, GEORGE MILTON III (NP-C)
Entity Type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:MILTON
Last Name:KIRKMAN
Suffix:III
Gender:M
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1219 ANNUNCIATION ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70130-4003
Mailing Address - Country:US
Mailing Address - Phone:504-473-2953
Mailing Address - Fax:
Practice Address - Street 1:231 N CARROLLTON AVE STE B
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-5160
Practice Address - Country:US
Practice Address - Phone:504-218-4853
Practice Address - Fax:504-218-4890
Is Sole Proprietor?:No
Enumeration Date:2017-07-12
Last Update Date:2017-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP09473363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily