| Clem Kirkland, M.d., Inc | |
|
5928 Springboro Pike Dayton OH 45449-3250 | |
| (937) 433-0220 | |
| Not Available |
| Full Name | Clem Kirkland, M.d., Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 5928 Springboro Pike, Dayton, Ohio |
| Authorized Official Name and Position | Clem Kirkland (PRESIDENT) |
| Authorized Official Contact | 9374330220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clem Kirkland, M.d., Inc 5928 Springboro Pike Dayton OH 45449-3250 Ph: (937) 433-0220 | Clem Kirkland, M.d., Inc 5928 Springboro Pike Dayton OH 45449-3250 Ph: (937) 433-0220 |
| NPI Number | 1740461763 |
|---|---|
| Provider Enumeration Date | 11/19/2007 |
| Last Update Date | 09/26/2010 |
| Medicare PECOS PAC ID | 5193758951 |
|---|---|
| Medicare Enrollment ID | O20050913001062 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740461763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jeanne M Kirkland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124108980 PECOS PAC ID: 3779750518 Enrollment ID: I20120120000112 |
| Provider Name | Clem Kirkland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356431639 PECOS PAC ID: 1951578798 Enrollment ID: I20121017000463 |
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