Allen R Kirkpatrick DDS
Organization Active NPI Preferred Provider Organization · Colfax, WA
NPI 1669927133 · NPPES record last updated Aug 24, 2016
Key facts
- NPI
- 1669927133
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Preferred Provider Organization 305R00000X
- License
- DE00005276 (WA)
- Legal business name
- ALLEN R KIRKPATRICK DDS
- Practice address
- 116 N Main St
Colfax, WA 99111-1801 - Phone
- (509) 397-4077
- Fax
- (509) 397-6766
- NPI assigned
- Aug 24, 2016
- Organization subpart
- No
Authorized official
- Name
- Allen Kirkpatrick, DDS
- Title
- Owner
- Phone
- (509) 397-4077
Practitioners 2
-
Matthew Mellor, D.D.S.
National Provider Directory
Locations
116 N Main St
Colfax, WA 99111
Phone (509) 397-4077
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preferred Provider Organization | 305R00000X | DE00005276 | WA | Yes |
Addresses
Primary practice location
116 N Main St
Colfax, WA 99111-1801
Mailing address
116 N Main St
Colfax, WA 99111-1801
Phone (509) 397-4077
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05513 | Other | WA | WDS |
| 5551304 | Medicaid | WA |
Other providers in Colfax, WA
All providers in Colfax, WA · Preferred Provider Organization in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.