Kirsch, Jeffrey P

Kirsch, Jeffrey P is an individual health care provider with primary practice located at 2425 Dave Ward Dr Ste 101, Conway AR 72034-8686. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Kirsch, Jeffrey P can be contacted via phone (501) 932-7600.

Contact Information

Primary practice address
2425 Dave Ward Dr Ste 101 Conway AR 72034-8686
Phone: (501) 932-7600
Fax: (501) 932-7603
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X E2703 Arkansas
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X E-2703 Arkansas

Profile Details

NPI number 1801884622
LBN Legal business name Kirsch, Jeffrey P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2005
Last updated Sep 1st, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801884622 NPPES
Arkansas MEDICAID 142402001

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