Provider Demographics
NPI:1780189761
Name:KIRKLAND, KRISTIN DAWN (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:KRISTIN
Middle Name:DAWN
Last Name:KIRKLAND
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:KRISTIN
Other - Middle Name:DAWN
Other - Last Name:MCCORMICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6703 DORRINGTON DR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28412-3092
Mailing Address - Country:US
Mailing Address - Phone:910-523-4114
Mailing Address - Fax:
Practice Address - Street 1:6703 DORRINGTON DR
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28412-3092
Practice Address - Country:US
Practice Address - Phone:910-523-4114
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-29
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2020-04212207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine