Provider Demographics
NPI:1164902680
Name:KIRKMAN, SHEILA MANESS
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:MANESS
Last Name:KIRKMAN
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 1:5028 ROBERSON FARM RD
Mailing Address - Street 2:
Mailing Address - City:KERNERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27284-8663
Mailing Address - Country:US
Mailing Address - Phone:336-595-6339
Mailing Address - Fax:
Practice Address - Street 1:5028 ROBERSON FARM RD
Practice Address - Street 2:
Practice Address - City:KERNERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27284-8663
Practice Address - Country:US
Practice Address - Phone:336-595-6339
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-14
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1133225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist