Individual
DR. DAVID RUSSELL KIRLIN I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
251 WILMOT DR, GASTONIA, NC 28054-4048
(704) 861-0425
(704) 861-0274
Mailing address
251 WILMOT DR, GASTONIA, NC 28054-4048
(704) 861-0425
(704) 861-0274
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
168
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08114
BCBS
—
01
—
1031002
CIGNA
—
01
—
1031002005
CIGNA
—
01
—
10343
PARTNERS
—
01
—
107026
WELLNESS
—
01
—
17606
WELLPATH
—
01
—
238687
MAMSI
—
01
—
4406434
AETNA
—
01
—
561552247001
PRUDENTIAL
—
01
—
662897
AETNA
—
05
—
8908114
—
NC
05
—
PDN168
—
SC
Enumeration date
09/12/2005
Last updated
10/04/2011
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