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Individual

KARL KIRKLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D

Contact information

Practice address
8650 MINNIE BROWN RD, SUITE 116, MONTGOMERY, AL 36117-7803
(334) 215-4466
(334) 215-4469
Mailing address
8650 MINNIE BROWN RD, SUITE 116, MONTGOMERY, AL 36117-7803
(334) 215-4466
(334) 215-4469

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
341
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000072588
UAB LEGACY # FOR BC & MC
AL
01
102I687966
MEDICARE
AL
05
166424
AL
05
890007150
AL
Enumeration date
05/27/2006
Last updated
07/11/2016
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