| Doctor Name: | DAVID BERG KIRKPATRICK |
| NPI Number: | 1003138256 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA |
| License Number: | PA60133720 |
| Business Practice Address: | 1706 Washington Way Longview, WA - 986322952 |
| Business Phone Number: | 3604239580 |
| Business Fax Number: | 3604239230 |
| Mailing Address: | 1706 Washington Way, LONGVIEW |
| State: | WA |
| Postal Code: | 986322952 |
| Phone Number: | 3604239580 |
| Fax Number: | 3604239230 |
| NPI Enumeration Date: | 02/15/2010 |
| NPI Last Update Date: | 02/15/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA60133720 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |