Individual ProviderDallas J KirkpatrickSocial WorkerBehavioral Health & Social Service ProvidersPractice Address800 Zorn Ave, Louisville, KY 40206-1433(502) 287-6256PECOS EnrollmentBased on the most recent information from CMS, provider Dallas J Kirkpatrick does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:43 AM.Profile DetailsProvider ID1497272520Provider TypeIndividualFull NameKirkpatrick, Dallas JCredentialCSWGenderMaleSole ProprietorNoEnumeration Date8/29/2017Last Updated7/21/2022Contact InformationPractice LocationPractice Address800 Zorn Ave, Louisville, KY 40206-1433Phone(502) 287-6256FaxUnlisted FaxMailing LocationMailing Address800 Zorn Ave, Louisville, KY 40206-1433Phone(502) 287-6256FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense252066Kentucky