Provider Demographics
NPI:1962581108
Name:KIRKWOOD, NAOMI JOAN (RN EDM)
Entity type:Individual
Prefix:MS
First Name:NAOMI
Middle Name:JOAN
Last Name:KIRKWOOD
Suffix:
Gender:F
Credentials:RN EDM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 223860
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:CA
Mailing Address - Zip Code:93922-3860
Mailing Address - Country:US
Mailing Address - Phone:831-242-5953
Mailing Address - Fax:831-242-4674
Practice Address - Street 1:473 CABRILLO ST
Practice Address - Street 2:SUITE A1A
Practice Address - City:PRESIDIO OF MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93944-3201
Practice Address - Country:US
Practice Address - Phone:831-242-5953
Practice Address - Fax:831-242-4674
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA70249163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health