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NPI Code Detail

MEDICARE: THE KIRKLAND FAMILY MEDICAL CENTER, PA

MEDICARE: THE KIRKLAND FAMILY MEDICAL CENTER, PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1305R00000XPreferred Provider OrganizationE0985AR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316145022
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE KIRKLAND FAMILY MEDICAL CENTER, PA
Provider Business Mailing Address
First Line : 1652 STATE HIGHWAY 22 W
Second Line :
City : DARDANELLE
State : AR
Zip : 72834-2909
Country : US
Telephone Number : 479-229-8000
Fax Number : 833-637-1613
Provider Business Practice Location Address
First Line : 1652 STATE HIGHWAY 22 W
Second Line :
City : DARDANELLE
State : AR
Zip : 72834-2909
Country : US
Telephone Number : 479-229-8000
Fax Number : 479-477-3925
Authorized Official
Title or Position : PRESIDENT
Name : DR. ALLAN KARL KIRKLAND
Credential : M.D.
Telephone Number : 479-229-8000
Provider Enumeration Date : 07/03/2007
Last Update Date : 02/13/2024

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Directions to “THE KIRKLAND FAMILY MEDICAL CENTER, PA ” Practice Location

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