MEDICARE: DARRELL LEE KIRTLEY

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
1	163W00000X	Registered Nurse	0000108065	TN

General Provider Information

NPI Number	:	1093367252
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DARRELL LEE KIRTLEY

Provider Business Mailing Address
First Line	:	806 SAM HOUSTON SCHOOL RD
Second Line	:
City	:	MARYVILLE
State	:	TN
Zip	:	37804-5632
Country	:	US
Telephone Number	:	865-719-1315
Fax Number	:

Provider Business Practice Location Address
First Line	:	806 SAM HOUSTON SCHOOL RD
Second Line	:
City	:	MARYVILLE
State	:	TN
Zip	:	37804-5632
Country	:	US
Telephone Number	:	865-719-1315
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/09/2019
Last Update Date	:	07/09/2019

Similar Medicare Providers

1043862212 — BONNIE E KIRTLEY
Practice Location Address:

806 SAM HOUSTON SCHOOL RD
MARYVILLE, TN
37804-5632

Practice Phone: 865-719-8220
Practice Fax:

1639175086 — ERIC L WESSEL PT
Practice Location Address:

2136 VADALABENE DR
MARYVILLE, IL
62062-5632

Practice Phone: 618-288-4677
Practice Fax: 618-288-4699

1831162288 — ANITA SANDHU MD
Practice Location Address:

2102 VADALABENE DR
MARYVILLE, IL
62062-5632

Practice Phone: 618-288-4350
Practice Fax: 618-288-4296

1952360869 — RENAL TREATMENT CENTERS-ILLINOIS INC
Practice Location Address:

2102 VADALABENE DR , STE 1
MARYVILLE, IL
62062-5632

Practice Phone: 618-288-1196
Practice Fax: 618-288-1294

1376590307 — APEX PHYSICAL THERAPY, LLC
Practice Location Address:

2136 VADALABENE DR , SUITE D
MARYVILLE, IL
62062-5632

Practice Phone: 618-288-4677
Practice Fax: 618-288-4699

1821021635 — CHRISTINA ANN EAKER OT
Practice Location Address:

2136 VADALABENE DR , SUITE D
MARYVILLE, IL
62062-5632

Practice Phone: 618-288-4677
Practice Fax: 618-288-4699

Directions to “ DARRELL LEE KIRTLEY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.