Eugene Brent Kirkland
Dermatologist Procedural Dermatology MOHS-Micrographic Surgeon
5300 Far Hills Avenue
Dayton
, Ohio 45429-2347
Eugene Brent Kirkland
Dermatologist Procedural Dermatology MOHS-Micrographic Surgeon
5300 Far Hills Avenue
Dayton
, Ohio 45429-2347
(937) 433-9612
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About
Features
Specialties
- Dermatologist
- MOHS-Micrographic Surgeon
- Procedural Dermatology
Languages spoken
- English
Location
First Address
- Eugene Brent Kirkland
- 5300 Far Hills Avenue
- Dayton, OH
- Zip : 45429-2347
- Fax : (937) 433-9612
- Phone : (937) 433-7536
Second Address
- Eugene Brent Kirkland
- 5300 Far Hills Avenue
- Dayton, OH
- Zip : 45429-2347
- Fax : (937) 433-4043
- Phone : (937) 291-8814
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 35120684 | OH |
| N | 207ND0101X | MOHS-Micrographic Surgeon | 35120684 | OH |
| N | 207NS0135X | Procedural Dermatology | 35120684 | OH |
| N | 207NS0135X | Procedural Dermatology | MD445143 | PA |
National Provider Identifier
| NPI | 1255580171 |
|---|---|
| Provider Name | Eugene Brent Kirkland |
| First Address | Dayton, OH 45429-2347 |
| Second Address | Dayton, OH 45429-2347 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/09/2008 |
| Last Update Date | 08/06/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000823202 | ANTHEM BC/BS (01) | OH |
| 3264729 | CIGNA (01) | OH |
| 4905679 | AETNA (01) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.