Provider Demographics
NPI:1144460312
Name:KIRKMAN, KATHRYN ARLIN (MD)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:ARLIN
Last Name:KIRKMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:KIRKMAN
Other - Last Name:CAMPBELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:543 AURORA PL
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-0100
Mailing Address - Country:US
Mailing Address - Phone:530-241-1880
Mailing Address - Fax:
Practice Address - Street 1:543 AURORA PL
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-0100
Practice Address - Country:US
Practice Address - Phone:530-241-1880
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-02
Last Update Date:2013-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA21083207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology