Provider Demographics
NPI:1538976485
Name:KIRKLAND, KIARA
Entity type:Individual
Prefix:MRS
First Name:KIARA
Middle Name:
Last Name:KIRKLAND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24755 5 MILE RD STE 201
Mailing Address - Street 2:
Mailing Address - City:REDFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48239-3666
Mailing Address - Country:US
Mailing Address - Phone:313-200-4194
Mailing Address - Fax:
Practice Address - Street 1:8163 GRAND RIVER RD STE 400B
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48114-9422
Practice Address - Country:US
Practice Address - Phone:313-200-4194
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-13
Last Update Date:2024-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver