Provider Demographics
NPI:1720969330
Name:KIRKMAN, KASSIDY (PHARMD)
Entity type:Individual
Prefix:
First Name:KASSIDY
Middle Name:
Last Name:KIRKMAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2895 STATE HIGHWAY 77 S STE 1
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:AR
Mailing Address - Zip Code:72364-2371
Mailing Address - Country:US
Mailing Address - Phone:870-739-1700
Mailing Address - Fax:
Practice Address - Street 1:2895 STATE HIGHWAY 77 S STE 1
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:AR
Practice Address - Zip Code:72364-2371
Practice Address - Country:US
Practice Address - Phone:870-739-1700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-10
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD17089183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist