Provider Demographics
NPI:1467746545
Name:KIRKLAND, KATHLEEN JARDINA (PHARMD)
Entity Type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:JARDINA
Last Name:KIRKLAND
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2021 WALNUT ST
Mailing Address - Street 2:T-0961
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-9205
Mailing Address - Country:US
Mailing Address - Phone:919-854-9436
Mailing Address - Fax:919-854-9436
Practice Address - Street 1:2021 WALNUT ST
Practice Address - Street 2:T-0961
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-9205
Practice Address - Country:US
Practice Address - Phone:919-854-9436
Practice Address - Fax:919-854-9436
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-06
Last Update Date:2011-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC17687183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist