Individual
CHARLES KIRKLAND II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21950 STATE HIGHWAY 181 STE A, FAIRHOPE, AL 36532-4393
(251) 621-6520
(251) 621-6521
Mailing address
PO BOX 749429, ATLANTA, GA 30374-9429
(251) 621-6520
(251) 621-6521
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29930
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A151776148
MEDICARE
AL
Enumeration date
04/16/2008
Last updated
03/15/2023
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