Individual
DR. JONATHAN LOUIS KIRKLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3149 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70506-7209
(337) 706-3415
Mailing address
211 PUBLIC RD, RAYNE, LA 70578-7610
(985) 510-1074
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3776
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1837768
—
LA
Enumeration date
03/29/2007
Last updated
09/28/2023
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