Provider Demographics
NPI:1346449857
Name:KIRKLAND, JAMES WADE (MA)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:WADE
Last Name:KIRKLAND
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3535 RANDOLPH RD STE 211
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28211-1086
Mailing Address - Country:US
Mailing Address - Phone:704-367-1999
Mailing Address - Fax:704-364-1185
Practice Address - Street 1:3535 RANDOLPH RD STE 211
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28211-1086
Practice Address - Country:US
Practice Address - Phone:704-367-1999
Practice Address - Fax:704-364-1185
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-13
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC623231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist