Provider Demographics
NPI:1013355072
Name:KIRKMAN GROUP, INC.
Entity Type:Organization
Organization Name:KIRKMAN GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:TRACY
Authorized Official - Last Name:SUITTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-525-2739
Mailing Address - Street 1:10639 PROFESSIONAL CIR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89521-5850
Mailing Address - Country:US
Mailing Address - Phone:775-525-2739
Mailing Address - Fax:775-525-2887
Practice Address - Street 1:10639 PROFESSIONAL CIR
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89521-5850
Practice Address - Country:US
Practice Address - Phone:775-525-2739
Practice Address - Fax:775-525-2887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-11
Last Update Date:2013-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site