Organization
TWIN RIVERS PODIATRY OF BOYERTOWN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY ANDREW KIRK DPM (DIRECT OWNER)
(610) 367-7000
Entity
Organization
Contact information
Practice address
5TH AND MONTGOMERY, SUITE 102, BOYERTOWN, PA 19512-1300
(610) 367-7000
(610) 367-4559
Mailing address
5TH AND MONTGOMERY, SUITE 102, BOYERTOWN, PA 19512-1300
(610) 367-7000
(610) 367-4559
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC004605L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1997171
HIGHMARK BLUE SHIELD
PA
01
—
3126386000
INDEPENDENCE BLUE CROSS
PA
01
—
50074066
CAPITAL BLUE CROSS
PA
Enumeration date
11/29/2007
Last updated
04/22/2008
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