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Individual

MRS. KYLE SLOATE KIRKLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
3609 SW DURHAM DR, DURHAM, NC 27707-6507
(919) 471-9622
(919) 477-1929
Mailing address
PO BOX 63362, CHARLOTTE, NC 28263-3362

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
0010-05947
NC
363AS0400X
Surgical Physician Assistant
Primary
0010-05947
NC

Other

Enumeration date
10/14/2015
Last updated
11/12/2015
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