Provider Demographics
NPI:1588619787
Name:KIRKPATRICK, STEPHEN A (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:A
Last Name:KIRKPATRICK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3400 SE FRANK PHILLIPS BLV
Mailing Address - Street 2:STE 700
Mailing Address - City:BARTLESVILLE
Mailing Address - State:OK
Mailing Address - Zip Code:74006-2443
Mailing Address - Country:US
Mailing Address - Phone:918-333-7172
Mailing Address - Fax:
Practice Address - Street 1:3400 SE FRANK PHILLIPS BLV
Practice Address - Street 2:STE 700
Practice Address - City:BARTLESVILLE
Practice Address - State:OK
Practice Address - Zip Code:74006-2443
Practice Address - Country:US
Practice Address - Phone:918-333-7172
Practice Address - Fax:918-331-2449
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2007-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK14318207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100122980AMedicaid
OK100206240BMedicaid
OK100206240BMedicaid