National Provider Identifier
Mark Raymond Kirkland, LPN
Mark Raymond Kirkland, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Lake View, NY and a listed phone number of (716) 627-5970.
Profile Overview
- NPI
- 1013121185
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- May 09, 2007
- Last Updated
- July 09, 2007
Practice Location
- 6855 Southwestern Blvd
- Lake View, NY 14085-9642
Phone: (716) 627-5970
Mailing Address
- 11108 Quarry RD
- Forestville, NY 14062-9719
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1013121185
- Entity Type
- Individual
- Last Name
- Kirkland
- First Name
- Mark
- Middle Name
- Raymond
- Name Prefix
- Mr.
- Credential
- LPN
- Mailing Street Address
- 11108 Quarry RD
- Mailing City
- Forestville
- Mailing State
- NY
- Mailing ZIP Code
- 14062-9719
- Mailing Country
- US
- Mailing Phone
- (716) 965-4338
- Practice Street Address
- 6855 Southwestern Blvd
- Practice City
- Lake View
- Practice State
- NY
- Practice ZIP Code
- 14085-9642
- Practice Country
- US
- Practice Phone
- (716) 627-5970
- Enumeration Date
- May 09, 2007
- Last Updated
- July 09, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)
- Other Identifiers
- 02832864 (NY)