| NPI | 1356532691 |
|---|---|
| Former Name | CORTNEY LYNN KIRKENDALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 201101853) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2015-08-12 |