Provider Demographics
NPI:1821476409
Name:KIRKWOOD, KATHERINE (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:
Last Name:KIRKWOOD
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13642 N HWY 183
Mailing Address - Street 2:BLDG 2, STE 100
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78750-2265
Mailing Address - Country:US
Mailing Address - Phone:512-331-7300
Mailing Address - Fax:
Practice Address - Street 1:13642 N HWY 183
Practice Address - Street 2:BLDG 2, STE 100
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78750-2265
Practice Address - Country:US
Practice Address - Phone:512-331-7300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-14
Last Update Date:2015-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical