MEDICARE: MARY ANN KIRKLAND

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	172V00000X	Community Health Worker

General Provider Information

NPI Number	:	1548855273
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY ANN KIRKLAND

Provider Business Mailing Address
First Line	:	157 COFFIELD RIDGE RD
Second Line	:
City	:	PROCTOR
State	:	WV
Zip	:	26055-1417
Country	:	US
Telephone Number	:	304-771-1760
Fax Number	:

Provider Business Practice Location Address
First Line	:	157 COFFIELD RIDGE RD
Second Line	:
City	:	PROCTOR
State	:	WV
Zip	:	26055-1417
Country	:	US
Telephone Number	:	304-771-1760
Fax Number	:

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

Provider Enumeration Date	:	03/04/2021
Last Update Date	:	03/04/2021

Similar Medicare Providers

1811196769 — WETZEL COUNTY EMERGENCY AMBULANCE
Practice Location Address:

RR 2 BOX 83
PROCTOR, WV
26055-9716

Practice Phone: 304-455-5931
Practice Fax:

1083014708 — KRISTEN O'NEIL
Practice Location Address:

40 POSTAL ST
PROCTOR, WV
26055-1316

Practice Phone: 304-771-4082
Practice Fax:

1043815616 — CHRISTINA LYNN RIDDLE
Practice Location Address:

4205 RINES RIDGE RD
PROCTOR, WV
26055-4042

Practice Phone: 304-843-0313
Practice Fax:

1023758158 — ANGELA MARIE ALLEN
Practice Location Address:

730 LONG RUN LN
PROCTOR, WV
26055-4275

Practice Phone: 567-674-7612
Practice Fax:

1508506635 — TIA DANIELLE EUREKA
Practice Location Address:

734 LONG RUN LN
PROCTOR, WV
26055-4275

Practice Phone: 304-843-0360
Practice Fax:

1972288488 — VICTORIA ROSE CROSS
Practice Location Address:

1996 RINES RIDGE RD
PROCTOR, WV
26055-4046

Practice Phone: 304-650-0306
Practice Fax:

Directions to “ MARY ANN KIRKLAND ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.