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Individual

KARLEIGH KIRSCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
53 RICHLAND AVE, ATHENS, OH 45701-2745
(740) 593-0935
Mailing address
1878 COUNTY ROAD 90, GIBSONBURG, OH 43431-9717
(419) 463-6048

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
UC885473
DRIVER LICENSE
OH
Enumeration date
01/17/2019
Last updated
01/17/2019
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