Provider Demographics
NPI:1205213618
Name:KIRKMAN, MEGAN ALEXANDRA (DPT, PT)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:ALEXANDRA
Last Name:KIRKMAN
Suffix:
Gender:F
Credentials:DPT, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4320 CHANDLER COVE WAY
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27539-7018
Mailing Address - Country:US
Mailing Address - Phone:704-576-5452
Mailing Address - Fax:
Practice Address - Street 1:4320 CHANDLER COVE WAY
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27539-7018
Practice Address - Country:US
Practice Address - Phone:704-576-5452
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-05
Last Update Date:2024-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7029225100000X
GAPT011825225100000X
NCP23535225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist