Provider Demographics
NPI:1326727280
Name:KIRKWOOD, AARON
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:
Last Name:KIRKWOOD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2101 DONLEY DR STE 105
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78758-4512
Mailing Address - Country:US
Mailing Address - Phone:512-458-3983
Mailing Address - Fax:512-458-6988
Practice Address - Street 1:2101 DONLEY DR STE 105
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-4512
Practice Address - Country:US
Practice Address - Phone:512-458-3983
Practice Address - Fax:512-458-6988
Is Sole Proprietor?:No
Enumeration Date:2023-07-17
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX70091183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist