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Individual

DR. WAYNE R KIRKHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7777 FOREST LN, STE C506, DALLAS, TX 75230-6845
(972) 566-7515
(972) 566-7067
Mailing address
7777 FOREST LN, STE C506, DALLAS, TX 75230-6845
(972) 566-7515
(972) 566-7067

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
E7636
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
BM60
TX
Enumeration date
06/22/2005
Last updated
10/18/2007
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