Most Relevant Information
Provider Data
| NPI Number: | 1003425687 |
| Provider Name: | CASEY JOHN KIRKLAND |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/29/2020 |
| Last Updated: | 07/29/2020 |
Provider Practice Location
7 CHENEY RD
KINGSTON
NH
038483402
Practice Location Phone/Fax
| Phone: | 5412131365 |
| Fax: |
Provider Mailing Location
7 CHENEY RD
KINGSTON
NH
038483402
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |