Individual
DR. KEVIN THOMAS KIRKLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3276 WEST RD, TRENTON, MI 48183-2322
(734) 676-4744
(734) 676-3641
Mailing address
46607 PINEHURST CIR, NORTHVILLE, MI 48168-8488
(734) 254-9221
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901017760
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
726746
UNITED CONCORDIA
MI
01
—
D177600
BLUE CROSS BLUE SHIELD MI
MA
Enumeration date
01/30/2007
Last updated
07/08/2007
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