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JOSEPH CLARY KIRKPATRICK DO
NPI 1164658118
General Practice in Gary, WV

Active since June 04, 2009PECOS Enrolled
RR 103 SUPPLY STREET, GARY, WV 24836(304) 448-2101(304) 448-3217 Get Directions Write a Review

NPPES record last updated: January 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Joseph Clary Kirkpatrick Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSEPH CLARY KIRKPATRICK DO (NPI 1164658118) is an individual general practice provider in Gary, West Virginia, licensed in West Virginia (2675) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1164658118
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameJOSEPH CLARY KIRKPATRICKCredential: DO
Location AddressRR 103 SUPPLY STREETGary, WV 24836-0507
Mailing AddressPo Box 507, Rr 103 Supply Street,Gary, WV 24836-0507 · (304) 448-2101 · Fax (304) 448-3217
Phone(304) 448-2101
Fax(304) 448-3217
Sole ProprietorNo
Enumeration DateJune 4, 2009
Last NPPES UpdateJanuary 22, 2021
NPPES CertifiedJanuary 6, 2021
✔ NPI 1164658118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Licenses✔ Licensed in WV · 2675✔ Licensed in VA · 0102206396
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X · License 0102206396 (VA)
RR 103 SUPPLY STREET, Gary, WV 24836
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Secondary Practice Locations 2

Location 1460 Front StRichlands, VA 24641-3065 · Phone (276) 598-4448 · Fax (276) 598-4635
Location 21616 Moutainneer HighwayBradshaw, WV 24817 · Phone (276) 598-4448 · Fax (276) 598-4635

Other Identifiers 1

Medicaid3810025232WV

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joseph Clary Kirkpatrick Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JOHN ROGER RAY D.O.
Family Medicine
RR 103 SUPPLY STREET
GARY, WV 24836
McDowell County (304) 448-2101
TUG RIVER HEALTH ASSOCIATION, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
RR 103 SUPPLY STREET
GARY, WV 24836
McDowell County (304) 448-2101
KEISHA R SAUNDERS FNP-BC
Nurse Practitioner (Family)
RR 103 SUPPLY STREET
GARY, WV 24836
McDowell County (304) 448-2101

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joseph Kirkpatrick's NPI number?

The NPI number for Joseph Kirkpatrick is 1164658118. It was assigned to this individual provider in the NPPES registry on June 4, 2009.

Where is Joseph Kirkpatrick located?

Joseph Kirkpatrick practices at Rr 103 Supply Street, Gary, WV 24836. The listed phone number is (304) 448-2101.

What is Joseph Kirkpatrick's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Joseph Kirkpatrick enrolled in Medicare?

Yes. Joseph Kirkpatrick is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Joseph Kirkpatrick was last updated on January 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.