| Doctor Name: | MS. CAROL J KIRKLAND |
| NPI Number: | 1033143672 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP, CPNP |
| License Number: | ARNP 9204749 |
| Business Practice Address: | 4880 N Highway 19a Suite 200 Mount Dora, FL - 327572018 |
| Business Phone Number: | 3525898111 |
| Business Fax Number: | 3525898495 |
| Mailing Address: | 711 State Highway 1959, GRAYSON |
| State: | KY |
| Postal Code: | 411437139 |
| Phone Number: | 6064745336 |
| Fax Number: | |
| NPI Enumeration Date: | 07/10/2006 |
| NPI Last Update Date: | 01/14/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | ARNP 9204749 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |