| Doctor Name: | CRISTIN KIRKLAND |
| NPI Number: | 1447680194 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 338094 |
| Business Practice Address: | 37 Main St Whitesboro, NY - 134921034 |
| Business Phone Number: | 3156248800 |
| Business Fax Number: | 3156248810 |
| Mailing Address: | 37 Main St, WHITESBORO |
| State: | NY |
| Postal Code: | 134921034 |
| Phone Number: | 3156248800 |
| Fax Number: | 3156248810 |
| NPI Enumeration Date: | 11/16/2013 |
| NPI Last Update Date: | 03/31/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 338094 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |