Individual
DR. KIRK D TOLHURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
162219-1
NY
207Y00000X
Otolaryngology Physician
Primary
MD023068E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008703120001
—
PA
05
—
00725966
—
NY
01
—
040015212
RR MEDICARE PIN
PA
01
—
CC8362
RR MEDICARE GROUP
NY
01
—
CC9269
RR MEDICARE GROUP
PA
01
—
GU040061
PA MEDICARE GROUP
PA
01
—
P00387771
RR MEDICARE PIN
NY
Enumeration date
02/23/2006
Last updated
09/16/2011
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