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NPI Code Detail

MEDICARE: CRISTIN KIRKLAND FNP

MEDICARE: CRISTIN KIRKLAND FNP
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
1363LF0000XFamily Nurse Practitioner338094NY

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 : 1447680194
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRISTIN KIRKLAND FNP
Provider Business Mailing Address
First Line : 2209 GENESEE STREET
Second Line : BUSINESS OFFICE ROOM 315
City : UTICA
State : NY
Zip : 13501-5930
Country : US
Telephone Number : 315-801-3282
Fax Number : 315-801-8391
Provider Business Practice Location Address
First Line : 37 MAIN ST
Second Line :
City : WHITESBORO
State : NY
Zip : 13492-1034
Country : US
Telephone Number : 315-624-8800
Fax Number : 315-624-8810
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2013
Last Update Date : 10/08/2019

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