Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NI0013X | Independent Medical Examiner | 038013645 | IL |
NPI | 1558959502 |
---|---|
Provider Name | Joshua James Kirkland |
First Address | Sterling, IL 61081-9123 |
Second Address | Rock Falls, IL 61071-5107 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/01/2021 |
Last Update Date | 05/01/2021 |