Provider Demographics
NPI:1902554579
Name:KIRKPATRICK, VOSHA
Entity type:Individual
Prefix:
First Name:VOSHA
Middle Name:
Last Name:KIRKPATRICK
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1904 IRVING ST NE APT 304
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20018-2410
Mailing Address - Country:US
Mailing Address - Phone:202-436-2046
Mailing Address - Fax:
Practice Address - Street 1:1904 IRVING ST NE APT 304
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20018-2410
Practice Address - Country:US
Practice Address - Phone:202-436-2046
Practice Address - Fax:202-436-2046
Is Sole Proprietor?:No
Enumeration Date:2022-03-14
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC2213381172A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver