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Individual

KIRK W DAVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
601 WAYNE AVE, CHAMBERSBURG, PA 17201-3805
(717) 267-2255
(717) 262-6385
Mailing address
601 WAYNE AVE, CHAMBERSBURG, PA 17201-3805
(717) 267-2255
(717) 262-6385

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC002071L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001650028
PA
Enumeration date
09/22/2005
Last updated
08/21/2012
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