Individual
PHILLIP DARRELL KIRKLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
8115 BEAVER RIDGE RD, KNOXVILLE, TN 37931-3314
(865) 414-6654
Mailing address
8115 BEAVER RIDGE RD, KNOXVILLE, TN 37931-3314
(865) 414-6654
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1277
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1516699
—
TN
01
—
4177381
BLUECROSS BLUESHIELD
TN
Enumeration date
10/02/2007
Last updated
04/09/2014
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