Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kirk L Landrum

Individual provider Athletic Trainer · NPI 1003466210

Kirk L Landrum is an Athletic Trainer in Laurel, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2019
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Practice location Address checks out

23 Mason St
Laurel, MS 39440-4437
Phone: (601) 399-0547
Fax: (601) 425-7585
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT0177 (MS)

Record details

NPI number1003466210
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 19, 2019
Last updated in NPPESSeptember 19, 2019

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