Individual
DEBORAH KIRKENDOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
140 S HOLLY ST, MEDFORD, OR 97501-3113
(541) 770-3905
Mailing address
140 S HOLLY ST, MEDFORD, OR 97501-3113
(541) 770-3905
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OR
Other
Enumeration date
11/12/2015
Last updated
11/12/2015
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