MEDICARE: MR. ROBERT B KIRKLAND JR. CRNA

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	367500000X	Certified Registered Nurse Anesthetist	1027544	AL

General Provider Information

NPI Number	:	1205888096
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ROBERT B KIRKLAND JR. CRNA

Provider Business Mailing Address
First Line	:	PO BOX 235022
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36123-5022
Country	:	US
Telephone Number	:	334-386-2051
Fax Number	:	334-396-6929

Provider Business Practice Location Address
First Line	:	2105 EAST SOUTH BLVD
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36116
Country	:	US
Telephone Number	:	334-288-2100
Fax Number	:

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

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	01/25/2026

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