Individual
TERESA A KIRKLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDC
Contact information
Practice address
CODE 100 M, BUILDING 277, PORTSMOUTH, VA 23709-5000
(757) 953-6454
Mailing address
CODE 100 M, BUILDING 277, NORFOLK NAVAL SHIPYARD, PORTSMOUTH, VA 23709-5000
(757) 953-6454
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
08/09/2007
Last updated
01/14/2014
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