Individual
MS. CAROL J KIRKLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP, CPNP
Contact information
Practice address
4880 N HIGHWAY 19A, SUITE 200, MOUNT DORA, FL 32757-2018
(352) 589-8111
(352) 589-8495
Mailing address
711 STATE HIGHWAY 1959, GRAYSON, KY 41143-7139
(606) 474-5336
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
3002939
KY
363LP0200X
Pediatric Nurse Practitioner
ARNP 9204749
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1076616
REGISTERED NURSE LIC NO.
KY
01
—
3002939
KY APRN
KY
05
—
307129400
—
FL
01
—
ARNP 9204749
ARNP LICENSE NO.
FL
Enumeration date
07/10/2006
Last updated
01/14/2014
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