Eddie L Kirsch PA

NPI 1265736045 - Physician Assistant - 363A00000X

NPI Details
NPI 1265736045
Gender Male
Enumeration Date 01/07/2011
Last Updated 01/25/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
1229 E SEMINOLE ST
SUITE 520
SPRINGFIELD MO, 65804-2227, US
Phone (417) 820-5750
Fax (417) 820-5066
Business Location
PO BOX 2580
SPRINGFIELD MO, 65801-2580, US
Phone (417) 829-4620
Fax (417) 829-4316
Toxanomy
Taxonomy Code 363A00000X
License State Missouri
License Number PENDING
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According to our database, Eddie L Kirsch PA NPI is 1265736045, taxonomy code is 363A00000X and license number is PENDING, license state is located at Missouri. Eddie L Kirsch PA physically located at 1229 E Seminole St, Springfield MO, 65804-2227. NPI Number Eddie L Kirsch PA has the Individual type.

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1265736045 NPI number is provided on an as is basis without warranty of any kind. 1265736045 is maintained by the National Plan & Provider Enumeration System. The contents of Eddie L Kirsch PA are for informational purposes only.