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NPI Code Detail

MEDICARE: DR. JOHN ALVIN KIRKLAND JR. M.D.

MEDICARE: DR. JOHN ALVIN KIRKLAND JR. M.D.
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
1208800000XUrology Physician30559NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1340016948OTHERNCINDIVIDUAL RAILROAD MCR#
224236OTHERNCPARTNERS PROVIDER #
349499OTHERNCBCBS NC INDIVIDUAL #

General Provider Information

NPI Number : 1326081746
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN ALVIN KIRKLAND JR. M.D.
Provider Business Mailing Address
First Line : PO BOX 36488
Second Line :
City : CHARLOTTE
State : NC
Zip : 28236-6488
Country : US
Telephone Number : 704-248-3400
Fax Number : 704-337-8387
Provider Business Practice Location Address
First Line : 201 QUEENS RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28204-3217
Country : US
Telephone Number : 704-372-5180
Fax Number : 704-376-6280
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2006
Last Update Date : 07/08/2007

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