Individual
SUSAN LORAINE KIRKLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
805 GROVE ST, LOUDON, TN 37774-1433
(865) 458-9556
Mailing address
1171 WATT CEMETERY RD, LOUDON, TN 37774-4215
(865) 643-0094
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2162
TN
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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