Individual
KATHERINE KIRSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
98 TYLER DR, WALBRIDGE, OH 43465-1457
(419) 360-3565
Mailing address
98 TYLER DR, WALBRIDGE, OH 43465-1457
(419) 360-3565
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
RF007383
OH
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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