KIRK L LANDRUM


Address: 23 Mason St, Laurel, MS 39440-4437
Phone: 6013990547

KIRK L LANDRUM (NPI# 1003466210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003466210
Entity Type Individual
Full Name KIRK L LANDRUM
Practice Address 23 Mason St
Laurel
MS 39440-4437
Mailing Address 43 Landrum Rd
Ovett
MS 39464-3735
Practice Telephone 6013990547
Practice Fax Number 6014257585
Mailing Telephone 6013195879
Enumeration Date 2019-09-19
Last Update Date 2019-09-19
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
AT0177 MS Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 23 MASON ST
City LAUREL
State MS
Zip Code 39440-4437

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629058094 South Central Regional Medical Center Ambulance 23 Mason St, Laurel, MS 39440-4437 2006-01-20
1568007045 Natalie Day Gibbes Speech-Language Pathologist 23 Mason St, Laurel, MS 39440-4437 2019-11-08
1114141975 Sherri Leigh Forehand Speech-Language Pathologist 23 Mason St, Laurel, MS 39440-4437 2007-04-12
1609994086 Lydia S. Mitchell Occupational Therapy Assistant 23 Mason St, Laurel, MS 39440-4437 2007-03-26
1326165093 Carrie Elizabeth Freeman Occupational Therapist 23 Mason St, Laurel, MS 39440-4437 2007-03-26
1871619528 Marsha Diane Boyd Occupational Therapist 23 Mason St, Laurel, MS 39440-4437 2007-03-22
1124143185 Ashley C Shoemaker Speech-Language Pathologist 23 Mason St, Laurel, MS 39441 2007-03-20
1457476467 Chanelle Alis Cooley Occupational Therapist 23 Mason St, Laurel, MS 39440-4437 2007-03-20
1427181411 Jessica Rose Braddock Speech-Language Pathologist 23 Mason St, Laurel, MS 39440-4437 2007-03-13
1225160591 Alexandra Carter O'neal Speech-Language Pathologist 23 Mason St, Laurel, MS 39440-4437 2007-03-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306323159 Tender Loving Care Homecare LLC Homemaker 509 Central Ave Ste 224, Laurel, MS 39440 2018-07-24
1669837910 Laurel Dental Properties Dentist 1925 Pine Belt Drive, Laurel, MS 39440 2015-12-30
1215282991 South Central Regional Medical Center Clinic/Center 525 Wayne Drive, Laurel, MS 39440 2012-07-18
1568721215 Terry Ratcliff Perkins Counselor 5192 Hwy 11 North, Laurel, MS 39440 2012-05-15
1437453057 Alexander Milne Home for Women Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 616 East 19th Street, Laurel, MS 39440 2010-12-23
1710135629 Jeffrey R. Moffett Nurse Practitioner 3115 Audubon Dr, Laurel, MS 39440 2008-09-04
1003096785 Family Health Center, Inc Obstetrics & Gynecology 103 S. 12th Avenue, Laurel, MS 39440 2007-11-09
1669672143 Laurel Urology Clinic Pa Urology 304 S 10th Ave, Laurel, MS 39440 2007-07-23
1093912370 Tanweer Hussain Majid Surgery 1007 Jefferson Street, Laurel, MS 39440 2007-06-29
1780889923 Hattiesburg Eye Clinic, Pa Ophthalmology 1431 North 10th St, Suite 1, Laurel, MS 39440 2007-06-18
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Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356959688 Nicholas Brady Verlanic Specialist/Technologist 2533 Buffalo Horn Dr, Laurel, MT 59044-8319 2020-07-22
1477187227 Rachel Abunassar Specialist/Technologist 8220 Spring Branch Ct, Laurel, MD 20723-2030 2020-03-01
1396384947 Natasha Lea Hayes Specialist/Technologist 254 Springhill Rd, Laurel, MS 39443-7874 2019-12-30
1215412820 Patrice Adobea Ankomah Specialist/Technologist 833 White Way, Laurel, MD 20707-3841 2018-09-28
1144701970 Lauren Annick Pettyjohn-robin Specialist/Technologist 6404 Orly Ln, Laurel, MD 20707-2980 2018-08-29
1225523178 Kyle Seymour Specialist/Technologist 8000 Cherry Ln, Laurel, MD 20707-3663 2018-06-23
1750739207 Erin Johnson Specialist/Technologist 14323 Laurel Rd, Laurel, DE 19956 2016-05-25
1831587666 Caitlin Renee Lovend Specialist/Technologist 9625 Coronet Ct, Laurel, MD 20723-1468 2015-01-01
1982011029 Catrice J Ballard Specialist/Technologist 14101 Adkins Rd, Laurel, MD 20708-1103 2014-07-21
1033102470 Valentin Danielle Porter Specialist/Technologist 410 Main St, #4, Laurel, MD 20707-4143 2005-08-30
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Competitor

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City LAUREL
Zip Code 39440

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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