Joel Donnel Kirkland Sr.
Adult Companion in New Haven, CT. Individual provider (NPI-1).
NPI number1700380706
StatusActive
Last updated in NPPESMar 22, 2018
Details
- NPI
- 1700380706
- Entity type
- Individual (NPI-1)
- Name
- Joel Donnel Kirkland Sr.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 22, 2018
- Last updated
- Mar 22, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 372600000X | Adult Companion | HCA.0001408 | CT | Yes |
Practice location
30 Brewster StNew Haven, CT 06511-1804
Phone 203-800-6144
Mailing address
30 Brewster StNew Haven, CT 06511-1804
Phone 203-800-6144
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