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Individual
CLEMENT STOKES KIRKLAND JR.
Active
Individual
CLEMENT STOKES KIRKLAND JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101034390
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005618622
—
VA
01
—
11048
OPTIMA HEALTH
—
01
—
432130
BLUE CROSS BLUE SHIELD
—
Enumeration date
01/25/2007
Last updated
11/15/2013
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