Provider Demographics
NPI:1881714079
Name:KIRKLAND, MARK BAIRD (DO)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:BAIRD
Last Name:KIRKLAND
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Gender:M
Credentials:DO
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Mailing Address - Street 1:3408 WOODLAND AVE
Mailing Address - Street 2:STE 205
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-6506
Mailing Address - Country:US
Mailing Address - Phone:515-226-1222
Mailing Address - Fax:515-226-1200
Practice Address - Street 1:3408 WOODLAND AVE
Practice Address - Street 2:STE 205
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-6506
Practice Address - Country:US
Practice Address - Phone:515-226-1222
Practice Address - Fax:515-226-1200
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
IA02041207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAA02639Medicare UPIN