Provider Demographics
NPI:1538749007
Name:KIRKLAND, DAVID STOKES (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:STOKES
Last Name:KIRKLAND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 W 20TH ST STE 1
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23517-2128
Mailing Address - Country:US
Mailing Address - Phone:757-622-6520
Mailing Address - Fax:757-622-7205
Practice Address - Street 1:425 W 20TH ST STE 1
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23517-2128
Practice Address - Country:US
Practice Address - Phone:757-622-6520
Practice Address - Fax:757-622-7205
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-09
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101279584207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine