Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 16003 | AL |
Y | 208600000X | Surgeon | 16003 | AL |
NPI | 1003882721 |
---|---|
Provider Name | Dr. Richard Ira Kirkland |
First Address | Birmingham, AL 35209-6862 |
Second Address | Birmingham, AL 35209-6862 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2006 |
Last Update Date | 25/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E08078 | (02) | AL |