Provider Demographics
NPI:1952111536
Name:KIRKLAND, DENA TEMEKA
Entity type:Individual
Prefix:
First Name:DENA
Middle Name:TEMEKA
Last Name:KIRKLAND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:256 NE 162ND ST
Mailing Address - Street 2:
Mailing Address - City:CROSS CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32628-3328
Mailing Address - Country:US
Mailing Address - Phone:352-210-9183
Mailing Address - Fax:
Practice Address - Street 1:256 NE 162ND ST
Practice Address - Street 2:
Practice Address - City:CROSS CITY
Practice Address - State:FL
Practice Address - Zip Code:32628-3328
Practice Address - Country:US
Practice Address - Phone:352-210-9183
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-07
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)