| Doctor Name: | SUSAN LEE KIRKLE |
| NPI Number: | 1003240607 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ADULT PSYCH MH NP |
| License Number: | 150726 |
| Business Practice Address: | 724 N 22nd St Saint Joseph, MO - 645062604 |
| Business Phone Number: | 8163641501 |
| Business Fax Number: | 8163646735 |
| Mailing Address: | 724 N 22nd St, SAINT JOSEPH |
| State: | MO |
| Postal Code: | 645062604 |
| Phone Number: | 8163641501 |
| Fax Number: | 8163646735 |
| NPI Enumeration Date: | 08/30/2013 |
| NPI Last Update Date: | 08/30/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | 150726 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |