Kirkley, Daniel Terrell

Kirkley, Daniel Terrell is an individual health care provider with primary practice located at 7804 Fairview Rd Ste A , Charlotte NC 28226-4999. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Trauma Surgery, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Kirkley, Daniel Terrell can be contacted via phone (704) 316-3136.

Contact Information

Primary practice address
7804 Fairview Rd Ste A Charlotte NC 28226-4999
Phone: (704) 316-3136
Fax: (704) 316-3140
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MPA.2910 South Carolina
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X MPA.2910 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-08907 North Carolina

Profile Details

NPI number 1245748045
LBN Legal business name Kirkley, Daniel Terrell
Credentials MMS. PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2018
Last updated Feb 13th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245748045 NPPES
South Carolina MEDICAID 3620PA

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