| Larry M. Kirkland, Inc. | |
|
4435 Marion St Marianna FL 32448-4630 | |
| (850) 482-0019 | |
| (850) 482-0015 |
| Full Name | Larry M. Kirkland, Inc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 4435 Marion St, Marianna, Florida |
| Authorized Official Name and Position | Larry M. Kirkland (PRESIDENT/OWNER) |
| Authorized Official Contact | 8503231002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Larry M. Kirkland, Inc. 285 W Lakeview Dr Wewahitchka FL 32465-7525 Ph: (850) 323-1002 | Larry M. Kirkland, Inc. 4435 Marion St Marianna FL 32448-4630 Ph: (850) 482-0019 |
| NPI Number | 1497027213 |
|---|---|
| Provider Enumeration Date | 02/09/2012 |
| Last Update Date | 02/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497027213 | NPI | - | NPPES |
| 001235600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | MH8715 (Florida) | Primary |
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