Provider Demographics
NPI:1639273972
Name:KIRKPATRICK, HELENA P (MD)
Entity Type:Individual
Prefix:DR
First Name:HELENA
Middle Name:P
Last Name:KIRKPATRICK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8203 NIGELS DRIVE SUITE 100
Mailing Address - Street 2:
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29572
Mailing Address - Country:US
Mailing Address - Phone:843-449-5848
Mailing Address - Fax:843-692-0841
Practice Address - Street 1:8203 NIGELS DRIVE SUITE 10
Practice Address - Street 2:
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29572
Practice Address - Country:US
Practice Address - Phone:843-449-5848
Practice Address - Fax:843-692-0841
Is Sole Proprietor?:No
Enumeration Date:2006-09-08
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC20599207V00000X
SC020599207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCQ32133Medicaid
C886376571Medicare ID - Type Unspecified
SCQ32133Medicaid
C88637Medicare UPIN