Kirkham, Jared Robert

Kirkham, Jared Robert is an sole proprietor health care provider with primary practice located at 4100 Lake Otis Pkwy Ste 108 , Anchorage AK 99508-5230. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Kirkham, Jared Robert can be contacted via phone (907) 563-3145.

Contact Information

Primary practice address
4100 Lake Otis Pkwy Ste 108 Anchorage AK 99508-5230
Phone: (907) 563-3145
Fax: (833) 464-5196
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X MEDS7978 Alaska

Profile Details

NPI number 1144544107
LBN Legal business name Kirkham, Jared Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 19th, 2010
Last updated Nov 27th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144544107 NPPES
Alaska MEDICAID 1610529

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