Individual
MR. PAUL ERIK KERCKHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AIR FORCE IDMT
Contact information
Practice address
701 HOSPITAL LOOP, FAIRCHILD AFB, WA 99011-8704
(509) 247-5755
(509) 247-8833
Mailing address
5998 KAMIAKIN TRL, FAIRCHILD AFB, WA 99011-2210
(509) 290-6206
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
B0441656
AZ
Other
Enumeration date
05/06/2009
Last updated
05/06/2009
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