Individual
TAMMY KIRKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1203 MAPLE ST, GREENSBORO, NC 27405-6910
(336) 641-3331
(336) 641-6693
Mailing address
4207 BAYVIEW RD, GREENSBORO, NC 27405-9536
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
096490
NC
Other
Enumeration date
08/12/2008
Last updated
08/12/2008
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