NPI 1083278311

Courtney Diana Kirkland

Practitioner Physician Assistant Decatur, TX

Practice location

Address: 2351 S Fm 51 STE 100, Decatur, TX 76234-3778
Phone: (940) 626-8073
Fax: (940) 626-8137
Mailing address: PO Box 2347, Decatur, TX 76234-6161

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA5976963 (TX)

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Registry record

NPI: 1083278311
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Apr 2019
Record last updated: 16 Nov 2020

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.