Provider Demographics
NPI:1871635227
Name:KIRKPATRICK, DOUGLAS HAIGH (MD)
Entity Type:Individual
Prefix:
First Name:DOUGLAS
Middle Name:HAIGH
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 1:255 UNION BLVD SUITE 200
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-1810
Mailing Address - Country:US
Mailing Address - Phone:303-763-5111
Mailing Address - Fax:303-302-2355
Practice Address - Street 1:255 UNION BLVD SUITE 200
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-1810
Practice Address - Country:US
Practice Address - Phone:303-763-5111
Practice Address - Fax:303-302-2355
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2013-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO19432207VG0400X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
COCL1918Medicare ID - Type Unspecified
COD23605Medicare UPIN
COCL1908Medicare PIN