Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0203X | Pediatric Critical Care Doctor | 076350 | GA |
N | 2080P0203X | Pediatric Critical Care Doctor | 8683328-1205 | UT |
NPI | 1033437215 |
---|---|
Provider Name | Dr. Brandon W Kirkland |
First Address | Salt Lake City, UT 84108-3148 |
Second Address | Atlanta, GA 30322-1060 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2010 |
Last Update Date | 28/01/2022 |