Individual
JACKIE KIRKLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3350 COLLINGWOOD BLVD, TOLEDO, OH 43610-1173
(419) 255-9585
Mailing address
3350 COLLINGWOOD BLVD, TOLEDO, OH 43610-1173
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.115165.MEDS
OH
Other
Enumeration date
03/13/2019
Last updated
03/13/2019
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