Individual
RONNIE A KIRKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C,PED
Contact information
Practice address
2133 ROCKFORD ST, SUITE 500, MOUNT AIRY, NC 27030-6587
(336) 789-8494
(336) 789-8561
Mailing address
2133 ROCKFORD ST, SUITE 500, MOUNT AIRY, NC 27030-6587
(336) 789-8494
(336) 789-8561
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
NC
335E00000X
Prosthetic/Orthotic Supplier
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7795476
—
NC
Enumeration date
09/20/2010
Last updated
08/28/2013
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