Provider Demographics
NPI:1013969229
Name:KIRKPATRICK, DEL T (MD)
Entity Type:Individual
Prefix:DR
First Name:DEL
Middle Name:T
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 1:1168 RIPPLECREEK CT
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45458-3228
Mailing Address - Country:US
Mailing Address - Phone:240-750-4209
Mailing Address - Fax:
Practice Address - Street 1:1000 WOODCOCK RD STE 120
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-3509
Practice Address - Country:US
Practice Address - Phone:407-792-1968
Practice Address - Fax:407-641-5179
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.098308207L00000X, 207LP3000X
FLME165018207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP3000XAllopathic & Osteopathic PhysiciansAnesthesiologyPediatric Anesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL119821400Medicaid
OH0060672Medicaid
H62749Medicare UPIN
OH0060672Medicaid