Provider Demographics
NPI:1033314547
Name:KIRKLAND HEALTHCARE SYSTEMS, P.C.
Entity Type:Organization
Organization Name:KIRKLAND HEALTHCARE SYSTEMS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:MANNING
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:480-545-7992
Mailing Address - Street 1:10518 S GREENFIELD RD
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85234-6223
Mailing Address - Country:US
Mailing Address - Phone:480-545-7992
Mailing Address - Fax:
Practice Address - Street 1:10518 S GREENFIELD RD
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85234-6223
Practice Address - Country:US
Practice Address - Phone:480-545-7992
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAZ5000111NR0400X
AZ1467207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty