Individual
KENESHA HILDA KIRKLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9623 BAILEY RD STE 220, CORNELIUS, NC 28031-9449
(704) 801-8330
(704) 801-8331
Mailing address
P O BOX 19305, CHARLOTTE, NC 28219-9305
(704) 631-0002
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
134152
NC
207R00000X
Internal Medicine Physician
134152
NC
207R00000X
Internal Medicine Physician
Primary
2009-01714
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275662256
—
NC
05
—
5913595
—
NC
05
—
NC1034
—
SC
01
—
NN3294B
MEDICARE NUMBER
NC
01
—
NN3294D
MEDICARE NUMBER
NC
Enumeration date
03/05/2007
Last updated
04/09/2025
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