NPI 1003466210

Kirk L Landrum

Practitioner Athletic Trainer Laurel, MS

Practice location

Address: 23 Mason St, Laurel, MS 39440-4437
Phone: (601) 399-0547
Fax: (601) 425-7585
Mailing address: 43 Landrum Rd, Ovett, MS 39464-3735

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT0177 (MS)

Other Specialist/Technologist providers in Mississippi →

Registry record

NPI: 1003466210
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Sep 2019
Record last updated: 19 Sep 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.