Ms. Carol J Kirkland
Nurse Practitioner - Pediatrics
4880 N Highway 19a Suite 200
Mount Dora
, Florida 32757-2018
Ms. Carol J Kirkland
Nurse Practitioner - Pediatrics
4880 N Highway 19a Suite 200
Mount Dora
, Florida 32757-2018
(606) 474-5336
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Ms. Carol J Kirkland
- 711 State Highway 1959
- Grayson, KY
- Zip : 41143-7139
- Phone : (606) 474-5336
Second Address
- Ms. Carol J Kirkland
- 4880 N Highway 19a Suite 200
- Mount Dora, FL
- Zip : 32757-2018
- Fax : (352) 589-8495
- Phone : (352) 589-8111
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Is Ms. Carol J Kirkland a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | 3002939 | KY |
| N | 363LP0200X | Nurse Practitioner - Pediatrics | ARNP 9204749 | FL |
National Provider Identifier
| NPI | 1033143672 |
|---|---|
| Provider Name | Ms. Carol J Kirkland |
| First Address | Grayson, KY 41143-7139 |
| Second Address | Mount Dora, FL 32757-2018 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/07/2006 |
| Last Update Date | 14/01/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1076616 | REGISTERED NURSE LIC NO. (01) | KY |
| 3002939 | KY APRN (01) | KY |
| 307129400 | (05) | FL |
| ARNP 9204749 | ARNP LICENSE NO. (01) | FL |
| Q68195 | (02) | KY |
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.