Individual
MR. JESSE THOMAS KIRSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1287 COUNTY WELFARE RD, LEESPORT, PA 19533-9197
(610) 208-4800
Mailing address
916 MESA LN, COLLEGEVILLE, PA 19426-4144
(610) 831-5916
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA002596L
PA
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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