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NPI Code Detail

MEDICARE: ALLAN K KIRKLAND MD

MEDICARE: ALLAN K KIRKLAND MD
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
1207Q00000XFamily Medicine PhysicianE0985AR

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 : 1356328520
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLAN K KIRKLAND MD
Provider Business Mailing Address
First Line : 1652 STATE HIGHWAY 22 W
Second Line :
City : DARDANELLE
State : AR
Zip : 72834-2909
Country : US
Telephone Number : 479-857-8064
Fax Number : 479-477-3924
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 : 479-477-3924
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2005
Last Update Date : 02/13/2024

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Directions to “ ALLAN K KIRKLAND MD” Practice Location

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