Provider Demographics
NPI:1053379156
Name:KIRKLAND, STEPHEN MITCHELL (MD)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:MITCHELL
Last Name:KIRKLAND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1701 WESTCHESTER DRIVE
Mailing Address - Street 2:SUITE 850
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-7254
Mailing Address - Country:US
Mailing Address - Phone:336-802-2400
Mailing Address - Fax:336-802-2001
Practice Address - Street 1:3073 TRENWEST DR
Practice Address - Street 2:
Practice Address - City:WINSTON-SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-3207
Practice Address - Country:US
Practice Address - Phone:336-768-0437
Practice Address - Fax:336-768-0433
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2009-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC30052207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC39145OtherMEDCOST
NC283800COtherMPH PROVIDER NUMBER
NC49304OtherBCNC
NC5015101002OtherCIGNA
NC8949304Medicaid
NC2502155OtherUNITED HEALTH CARE
NC4099307OtherAETNA
NCP00654533OtherRAILROAD MEDICARE
NC759OtherPARTNERS MEDICARE
NC060012391OtherRAILROAD MEDICARE
NC203800DOtherFMC PROVIDER NUMBER
NC216756OtherMAMSI
NC39145OtherMEDCOST
NC2502155OtherUNITED HEALTH CARE
NCP00654533OtherRAILROAD MEDICARE