Individual
EUGENE BRENT KIRKLAND
Active
Individual
EUGENE BRENT KIRKLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35120684
OH
207ND0101X
MOHS-Micrographic Surgery Physician
35120684
OH
207NS0135X
Procedural Dermatology Physician
35120684
OH
207NS0135X
Procedural Dermatology Physician
MD445143
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000823202
ANTHEM BC/BS
OH
01
—
3264729
CIGNA
OH
01
—
4905679
AETNA
OH
Enumeration date
09/16/2008
Last updated
06/08/2017
Update your record
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