| 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 |
|---|---|
| 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 |
|---|---|
| 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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