Individual
DANIEL TERRELL KIRKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MMS. PA-C
Contact information
Practice address
8500 CHARLOTTE HWY, INDIAN LAND, SC 29707-7591
(803) 548-9393
(803) 548-9590
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MPA.2910
SC
2086S0127X
Trauma Surgery Physician
MPA.2910
SC
363A00000X
Physician Assistant
0010-08907
NC
363A00000X
Physician Assistant
Primary
2910
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3620PA
—
SC
Enumeration date
01/15/2018
Last updated
08/04/2026
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