Provider Demographics
NPI:1942342340
Name:KIRKPATRICK, TAMMY ANN (LPN)
Entity Type:Individual
Prefix:
First Name:TAMMY
Middle Name:ANN
Last Name:KIRKPATRICK
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:718 BELLEAIRE AVE
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37921-6811
Mailing Address - Country:US
Mailing Address - Phone:865-521-3807
Mailing Address - Fax:
Practice Address - Street 1:718 BELLEAIRE AVE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37921-6811
Practice Address - Country:US
Practice Address - Phone:865-521-3807
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLPN0000060033164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse