PHILLIP DARRELL KIRKLAND P.A. NPI 1275720492

NPI Information

NPI: 1275720492
Provider Name: PHILLIP DARRELL KIRKLAND, P.A.
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
8115 BEAVER RIDGE RD
KNOXVILLE, TN
ZIP 37931
Phone: (865) 414-6654
Get Directions

Phillip Darrell Kirkland, P.A. is a medical physician assistant in Knoxville, TN. Phillip Darrell Kirkland, P.A. NPI is 1275720492. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8115 BEAVER RIDGE RD
KNOXVILLE, TN
ZIP 37931-314
Phone: (865) 414-6654

The NPI 1275720492 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/2/2007 and was last updated on 4/9/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	1277	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	103I972924	MEDICARE PIN	TENNESSEE
2	1516699	MEDICAID	TENNESSEE
3	4177381	OTHER	TENNESSEE	BLUECROSS BLUESHIELD
4	3665195	MEDICARE PIN	TENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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