| Doctor Name: | MRS. CAROL ANN KIRKLAND |
| NPI Number: | 1649370834 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP C |
| License Number: | 686A |
| Business Practice Address: | 318 Abalone Loop Road Mescalero, NM - 883400210 |
| Business Phone Number: | 5754644441 |
| Business Fax Number: | 5754644422 |
| Mailing Address: | 318 Abalone Loop Road, MESCALERO |
| State: | NM |
| Postal Code: | 88340 |
| Phone Number: | 5754644441 |
| Fax Number: | 5754644422 |
| NPI Enumeration Date: | 09/25/2006 |
| NPI Last Update Date: | 04/11/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 686A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |