Provider Demographics
NPI:1548858368
Name:DILLARD-KIRKLAND, AMEIA (RN)
Entity type:Individual
Prefix:MRS
First Name:AMEIA
Middle Name:
Last Name:DILLARD-KIRKLAND
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3389 CASTLECREEK DR
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35756-6004
Mailing Address - Country:US
Mailing Address - Phone:256-361-3214
Mailing Address - Fax:
Practice Address - Street 1:3389 CASTLECREEK DR
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35756-6004
Practice Address - Country:US
Practice Address - Phone:256-361-3214
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-07
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-138031163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse