MEDICARE: JAMES L. KIRKLAND 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
1	207RG0300X	Geriatric Medicine (Internal Medicine) Physician	79817	MA
2	207R00000X	Internal Medicine Physician	50420	MN
3	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	G199386	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487682308
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES L. KIRKLAND M.D.

Provider Business Mailing Address
First Line	:	200 1ST ST SW
Second Line	:
City	:	ROCHESTER
State	:	MN
Zip	:	55905-0001
Country	:	US
Telephone Number	:	507-284-2511
Fax Number	:

Provider Business Practice Location Address
First Line	:	8723 ALDEN DR STE 290
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-3692
Country	:	US
Telephone Number	:	310-423-3870
Fax Number	:	310-423-0429

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

Provider Enumeration Date	:	06/29/2006
Last Update Date	:	02/06/2025

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Directions to “ JAMES L. KIRKLAND M.D.” Practice Location

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