Paul Kircher
Specialist/Technologist, Athletic Trainer in Springfield, IL. Individual provider (NPI-1).
NPI number1154738136
StatusActive
Last updated in NPPESJul 22, 2014
Details
- NPI
- 1154738136
- Entity type
- Individual (NPI-1)
- Name
- Paul Kircher
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 22, 2014
- Last updated
- Jul 22, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 096.001452 | IL | Yes |
Practice location
701 N 1st StSportscare
Springfield, IL 62781-0001
Phone 217-862-0351
Mailing address
701 N 1st StSportscare
Springfield, IL 62781-0001
Phone 217-862-0351
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