Provider Demographics
NPI:1952159097
Name:KIRKORIAN, LYNDSEY (DVM)
Entity type:Individual
Prefix:
First Name:LYNDSEY
Middle Name:
Last Name:KIRKORIAN
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PSC 704 BOX 3343
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AP
Mailing Address - Zip Code:96338-0034
Mailing Address - Country:US
Mailing Address - Phone:315-263-5913
Mailing Address - Fax:
Practice Address - Street 1:CAMP ZAMA VETERINARY TREATMENT FACILITY
Practice Address - Street 2:VRA,J, MCHB-RP-JBZ UNIT 45005
Practice Address - City:APO
Practice Address - State:AP
Practice Address - Zip Code:96343-5005
Practice Address - Country:US
Practice Address - Phone:315-263-5913
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-13
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNTN7608171000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171000000XOther Service ProvidersMilitary Health Care Provider