Individual
CLINTON WEST KIRCHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 JOHN ALDRIDGE DR, TUSCUMBIA, AL 35674-3000
(256) 366-6084
Mailing address
500 JOHN ALDRIDGE DR, TUSCUMBIA, AL 35674-3000
(256) 366-6084
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2952
AL
Other
Enumeration date
11/22/2012
Last updated
11/22/2012
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