Individual
THOMAS O KIRSCH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
2009 NEUSE BLVD, NEW BERN, NC 28560-3470
(252) 636-9800
(252) 636-9855
Mailing address
PO BOX 12830, NEW BERN, NC 28561-2830
(252) 636-9800
(252) 636-9855
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10239
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079U4
BCBS
NC
05
—
7211945
—
NC
Enumeration date
04/08/2006
Last updated
07/08/2007
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