Individual
DR. KENNETH J KIRSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
15801 S BELL RD, SUITE 200, HOMER GLEN, IL 60491-7648
(708) 301-9401
(708) 301-8515
Mailing address
919 ABBOTSFORD LN, FRANKFORT, IL 60423-9707
(815) 469-3744
(708) 301-8515
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
08/24/2006
Last updated
07/08/2007
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