Individual
DR. JEFFREY P KIRSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2425 DAVE WARD DR, STE 101, CONWAY, AR 72034-8686
(501) 932-7600
(501) 932-7603
Mailing address
2425 DAVE WARD DR, CONWAY, AR 72034-8679
(501) 932-7600
(501) 932-7603
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
E2703
AR
207Y00000X
Otolaryngology Physician
Primary
E-2703
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142402001
—
AR
Enumeration date
10/06/2005
Last updated
09/01/2021
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