Individual
JORDAN COLBY KIRKLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2809 DENNY AVE, PASCAGOULA, MS 39581-5301
(228) 809-5540
(228) 809-1153
Mailing address
11071D HIGHWAY 188, GRAND BAY, AL 36541-6219
(251) 802-5926
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1-148131
AL
367500000X
Certified Registered Nurse Anesthetist
Primary
901785
MS
Other
Enumeration date
12/28/2018
Last updated
07/10/2022
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