Individual
MATT L KIRKLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 CIVIC CENTER BLVD FL 4, PHILADELPHIA, PA 19104-5127
(215) 662-2626
(215) 614-0244
Mailing address
3400 CIVIC CENTER BLVD FL 4, PHILADELPHIA, PA 19104-5127
(215) 662-2626
(215) 614-0244
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD032726E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001124780009
—
PA
Enumeration date
07/04/2006
Last updated
10/22/2019
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