Jeffery William Kirkland, DC | |
6004 S Broadway Ave Ste 200, Tyler, TX 75703-4424 | |
(903) 534-7095 | |
(903) 534-7094 |
Full Name | Jeffery William Kirkland |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 6004 S Broadway Ave Ste 200, Tyler, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699306969 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 14339 (Texas) | Primary |
Provider Name | Kirkland Chiropractic Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1316703218 PECOS PAC ID: 0941647606 Enrollment ID: O20240318002625 |
Mailing Address | Practice Location Address |
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Jeffery William Kirkland, DC 10628 State Highway 19 S, Athens, TX 75751-5597 Ph: (903) 286-2095 | Jeffery William Kirkland, DC 6004 S Broadway Ave Ste 200, Tyler, TX 75703-4424 Ph: (903) 534-7095 |
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