Individual
ADA DARLEEN KIRKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1569 RIDGE WAY, MEDFORD, OR 97504-6646
(541) 245-2698
Mailing address
1569 RIDGE WAY, MEDFORD, OR 97504
(541) 245-2698
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
8361
MT
Other
Enumeration date
10/31/2006
Last updated
01/14/2008
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