Provider Demographics
NPI:1821539206
Name:KIRKPATRICK, JAMES (EMTP)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:KIRKPATRICK
Suffix:
Gender:M
Credentials:EMTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10415 NUBBIN CT
Mailing Address - Street 2:
Mailing Address - City:SANTEE
Mailing Address - State:CA
Mailing Address - Zip Code:92071-1975
Mailing Address - Country:US
Mailing Address - Phone:619-933-8139
Mailing Address - Fax:
Practice Address - Street 1:10415 NUBBIN CT
Practice Address - Street 2:
Practice Address - City:SANTEE
Practice Address - State:CA
Practice Address - Zip Code:92071-1975
Practice Address - Country:US
Practice Address - Phone:619-933-8139
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-17
Last Update Date:2017-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAP00378146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic