Organization
KIRTLEY & STUCKWISCH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM RICHARD KIRTLEY DDS (MEMBER)
(812) 522-1899
Entity
Organization
Contact information
Practice address
325 N WALNUT ST, SUITE A, SEYMOUR, IN 47274-2113
(812) 522-1899
(812) 522-2759
Mailing address
325 N WALNUT ST, SUITE A, SEYMOUR, IN 47274-2113
(812) 522-1899
(812) 522-2759
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12008976A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100140320
—
IN
Enumeration date
08/30/2006
Last updated
01/27/2014
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