Provider Demographics
NPI:1124590070
Name:KIRKMAN, AMY LINKER (LAT, ATC)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:LINKER
Last Name:KIRKMAN
Suffix:
Gender:F
Credentials:LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 BUFORD DR
Mailing Address - Street 2:
Mailing Address - City:LANDIS
Mailing Address - State:NC
Mailing Address - Zip Code:28088-1164
Mailing Address - Country:US
Mailing Address - Phone:704-273-0655
Mailing Address - Fax:
Practice Address - Street 1:306 E RED CROSS RD
Practice Address - Street 2:
Practice Address - City:OAKBORO
Practice Address - State:NC
Practice Address - Zip Code:28129-7202
Practice Address - Country:US
Practice Address - Phone:704-961-5200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-17
Last Update Date:2018-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1415207PS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PS0010XAllopathic & Osteopathic PhysiciansEmergency MedicineSports Medicine