Provider Demographics
NPI:1811997372
Name:KIRKLING, DAVID D (DC)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:D
Last Name:KIRKLING
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2218 E STATE HIGHWAY 54
Mailing Address - Street 2:
Mailing Address - City:LINTON
Mailing Address - State:IN
Mailing Address - Zip Code:47441-9498
Mailing Address - Country:US
Mailing Address - Phone:812-847-7429
Mailing Address - Fax:812-847-0035
Practice Address - Street 1:2218 E STATE HIGHWAY 54
Practice Address - Street 2:
Practice Address - City:LINTON
Practice Address - State:IN
Practice Address - Zip Code:47441-9498
Practice Address - Country:US
Practice Address - Phone:812-847-7429
Practice Address - Fax:812-847-0035
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-27
Last Update Date:2007-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08000677A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000084505OtherBLUE CROSS AND BLUE SHIEL
INU02740Medicare UPIN
IN300910Medicare PIN