Individual
JAMES THEODORE BIRCH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MSPH
Contact information
Practice address
3901 RAINBOW BLVD, MS 4017, KANSAS CITY, KS 66160-8500
(913) 588-1944
(193) 588-2496
Mailing address
PO BOX 411851, KANSAS CITY, MO 64141-1851
(913) 588-1944
(913) 588-2496
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2003026494
MO
207QG0300X
Geriatric Medicine (Family Medicine) Physician
04032538
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010196264
—
VA
05
—
201906013
—
MO
01
—
P00284544
RR MEDICARE
MO
Enumeration date
05/16/2006
Last updated
07/16/2014
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