Theo Neal Kirkland III, M.D.
Internal Medicine, Infectious Disease in La Jolla, CA. Individual provider (NPI-1).
NPI number1528079795
StatusActive
Last updated in NPPESMar 2, 2022
Details
- NPI
- 1528079795
- Entity type
- Individual (NPI-1)
- Name
- Theo Neal Kirkland III
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 11, 2006
- Certification date
- Mar 2, 2022
- Last updated
- Mar 2, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RI0200X | Internal Medicine, Infectious Disease | G39331 | CA | Yes |
| 207R00000X | Internal Medicine | G39331 | CA |
Practice location
5709 Waverly AveLa Jolla, CA 92037-7336
Phone 858-752-7989 · Fax 858-459-7471
Mailing address
5709 Waverly AveLa Jolla, CA 92037-7336
Phone 858-752-7989 · Fax 858-459-7171
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