Individual
PAIGE NICHOLE KIRSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1818 S AUSTRALIAN AVE STE 420, WEST PALM BEACH, FL 33409-6447
(561) 708-5880
Mailing address
4946 MALLORY ST, LAKE WORTH, FL 33463-7456
(561) 789-0604
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
18-56039
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19679800
—
FL
Enumeration date
01/07/2022
Last updated
01/07/2022
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