Individual
KIRK L. KINARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2215 JEFFERSON DAVIS DR, OXFORD, MS 38655-5221
(662) 638-0462
(866) 658-0083
Mailing address
716 MOGRIDGE LN, OXFORD, MS 38655-5150
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
19491
MS
208VP0014X
Interventional Pain Medicine Physician
2200
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02339383
—
MS
05
—
1522852
—
TN
Enumeration date
06/28/2007
Last updated
03/17/2018
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