Provider Demographics
NPI:1366072175
Name:KIRKPATRICK, TAYLOR (DMSC, PA-C)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:
Last Name:KIRKPATRICK
Suffix:
Gender:F
Credentials:DMSC, PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2346
Mailing Address - Street 2:
Mailing Address - City:HENNIKER
Mailing Address - State:NH
Mailing Address - Zip Code:03242-2346
Mailing Address - Country:US
Mailing Address - Phone:603-506-6275
Mailing Address - Fax:
Practice Address - Street 1:168 MAPLE ST
Practice Address - Street 2:
Practice Address - City:HENNIKER
Practice Address - State:NH
Practice Address - Zip Code:03242-3506
Practice Address - Country:US
Practice Address - Phone:603-506-6275
Practice Address - Fax:603-506-4137
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-21
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant