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Organization
TWIN RIVERS PODIATRY OF BOYERTOWN
Active
Organization
TWIN RIVERS PODIATRY OF BOYERTOWN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY ANDREW KIRK DPM (DIRECT OWNER)
(610) 367-7000
Entity
Organization
Contact information
Practice address
5TH AND MONTGOMERY, SUITE 102, BOYERTOWN, PA 19512-1300
(610) 367-7000
(610) 367-4559
Mailing address
5TH AND MONTGOMERY, SUITE 102, BOYERTOWN, PA 19512-1300
(610) 367-7000
(610) 367-4559
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC004605L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1997171
HIGHMARK BLUE SHIELD
PA
01
—
3126386000
INDEPENDENCE BLUE CROSS
PA
01
—
50074066
CAPITAL BLUE CROSS
PA
Enumeration date
11/29/2007
Last updated
04/22/2008
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