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Contact Information

GORDON KIRKUP
838 N MARIPOSA AVE APT 3
LOS ANGELES, CA90029-3441
 Phone: 323-282-6119
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for GORDON KIRKUP · (Male)

NPI # 1225426406
Status Active
Credentials
Entity Individual
Enumeration date 12/22/2014
Last updated 12/22/2014 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 14984
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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