Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | 36.003874 | OH |
NPI | 1447645775 |
---|---|
Provider Name | Amity Lorraine Kirkland |
First Address | Dayton, OH 45410-1420 |
Second Address | Cincinnati, OH 45220 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2015 |
Last Update Date | 15/08/2018 |