Individual
DAVID C BIRCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
121 BISHOP ST, CORBIN, KY 40701-1702
(606) 528-2124
(606) 528-8272
Mailing address
121 BISHOP ST, CORBIN, KY 40701-1702
(606) 528-2124
(606) 528-8272
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA065
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA065
LICENSE NO.#
KY
Enumeration date
12/14/2006
Last updated
04/26/2011
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