Active NPI
Patricia Ann Osborne-Kirkemo, D.C.
- Chiropractor
- Galesburg, IL
National Provider Identifier
1831202472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038-007910
- Practice address
- 311 E Main St Ste 417
Galesburg, IL 61401-4867 - Phone
- (309) 368-5141
- NPI assigned
- Aug 17, 2006
- Last updated
- May 1, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038-007910 | IL | Primary |
Addresses
Primary practice location
311 E Main St Ste 417
Galesburg, IL 61401-4867
Mailing address
311 E Main St Ste 417
Galesburg, IL 61401-4867
Phone (309) 368-5141
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IL2707 | Other | MEDICARE PTAN | |
| 1921738 | Other | IL | BC/BS |
| 038-007910 | Other | IL | PROF STATE LICENSE |
Other names 1
- Dr. Patricia Ann Kirkemo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-007910 | IL | MD | Chiropractor |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Galesburg, IL
- NPI 1477887537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398902400000",
"number": "1831202472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 E MAIN ST STE 417",
"city": "GALESBURG",
"state": "IL",
"postal_code": "614014867",
"telephone_number": "309-368-5141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 E MAIN ST STE 417",
"city": "GALESBURG",
"state": "IL",
"postal_code": "614014867",
"telephone_number": "309-368-5141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSBORNE-KIRKEMO",
"first_name": "PATRICIA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-17",
"last_updated": "2014-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038-007910",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "IL2707",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "1921738",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROF STATE LICENSE",
"identifier": "038-007910",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PATRICIA",
"last_name": "KIRKEMO",
"middle_name": "ANN",
"prefix": "DR.",
"credential": "D.C.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Galesburg, IL
- Omaha Vamc
- Oncology Hematology Associates of Central Il, PC (Illinois Cancer Caer PC)
- Emeka Henry Onwuameze, PHARM.D
- Beverly L Orwig, RNFA
- Erin Osborn
- Osf Multi-Specialty Group
- Osf Multi-Specialty Group
- Osf Multi-Specialty Group (OSF OnCall Urgent Care)
- Osf Multispecialty Group Western Region, LLC (Osf Galesburg Clinic)
- Osf Saint Francis, Inc (OSF Home Medical Equipment - Galesburg)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.