Provider Demographics
NPI:1700326402
Name:KIRKPATRICK, KIMBERLY BETH (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:BETH
Last Name:KIRKPATRICK
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3248 GALBERRY RD
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23323-1303
Mailing Address - Country:US
Mailing Address - Phone:757-450-7978
Mailing Address - Fax:
Practice Address - Street 1:1205 FORDHAM DR
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23464-5344
Practice Address - Country:US
Practice Address - Phone:757-424-7839
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-28
Last Update Date:2017-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202215545183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist