Most Relevant Information
Provider Data
| NPI Number: | 1003517996 |
| Provider Name: | COURTNEY KIRKLAND |
| Entity Type: | Individual |
| Taxonomy Code: | 335E00000X |
| Specialty: | Prosthetic/Orthotic Supplier |
| License Number: | 1201142572 |
Most Important Dates
| Enumeration Date: | 03/16/2023 |
| Last Updated: | 03/16/2023 |
Provider Practice Location
9001 PATTERSON AVE APT 127
HENRICO
VA
232296120
Practice Location Phone/Fax
| Phone: | 7573924808 |
| Fax: |
Provider Mailing Location
9001 PATTERSON AVE APT 127
HENRICO
VA
232296120
Provider Mailing Phone/Fax
| Phone: | 7573924808 |
| Fax: |