Individual
DONNA KIRKLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2747 FOURTH ST, BRUNSWICK, GA 31520
(912) 264-3961
Mailing address
150 SCRANTON CONNECTOR, BRUNSWICK, GA 31525-0540
(912) 264-3961
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN034063
GA
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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