Individual
CHARLES KIRCHEM IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
07655
LA
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2113712
—
LA
Enumeration date
09/11/2009
Last updated
07/20/2026
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