Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIRK L LANDRUM
Active Sole ProprietorKIRK L LANDRUM is a Athletic Trainer healthcare provider located in LAUREL, Mississippi. NPI 1003466210 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · LAUREL, MS
Registration Details
- NPI Number
- 1003466210
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 19, 2019 (6.8662099348961 yrs)
- Last Updated
- Sep 19, 2019
- License
-
AT0177 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
23 MASON STLAUREL, MS, 394404437Browse MS providers · Browse ZIP 39440
- Phone
- 6013990547
- Fax
- 6014257585
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in LAUREL, MS
| Name | Credential | NPI |
|---|---|---|
| MR. DANIEL WENDELL DIERS | MPT, ATC | 1275663304 |
| NATASHA LEA HAYES | ATC | 1396384947 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.