Individual
MR. THOMAS W KIRKLAND JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICENSED OPTICIAN
Contact information
Practice address
24 N 8TH ST, RICHMOND, VA 23219-3302
(804) 783-1500
(804) 783-1512
Mailing address
24 N 8TH ST, RICHMOND, VA 23219-3302
(804) 783-1500
(804) 783-1512
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
817
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004179
ANTHEM BLUE CROSS AND BLU
VA
Enumeration date
08/09/2007
Last updated
08/15/2007
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