Individual
DR. JOHN ALVIN KIRKLAND JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 QUEENS RD, CHARLOTTE, NC 28204-3217
(704) 372-5180
(704) 376-6280
Mailing address
PO BOX 36488, CHARLOTTE, NC 28236-6488
(704) 248-3400
(704) 337-8387
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
30559
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24236
PARTNERS PROVIDER #
NC
01
—
340016948
INDIVIDUAL RAILROAD MCR#
NC
01
—
49499
BCBS NC INDIVIDUAL #
NC
Enumeration date
06/14/2006
Last updated
07/08/2007
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