Healthcare Provider Details

I. General information

NPI: 1033314547
Provider Name (Legal Business Name): KIRKLAND HEALTHCARE SYSTEMS, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10518 S GREENFIELD RD
GILBERT AZ
85234-6223
US

IV. Provider business mailing address

10518 S GREENFIELD RD
GILBERT AZ
85234-6223
US

V. Phone/Fax

Practice location:
  • Phone: 480-545-7992
  • Fax:
Mailing address:
  • Phone: 480-545-7992
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number1467
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License NumberAZ5000
License Number StateAZ

VIII. Authorized Official

Name: DR. MICHAEL LEE MANNING
Title or Position: DIRECTOR
Credential: DC
Phone: 480-545-7992