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Charles Kirchem IV, DPT
Specialist in Luling, Louisiana
NPI 1023341864

Charles Kirchem IV is a Specialist based in Luling, LA. Charles Kirchem IV practices in Luling, LA and has the professional credentials of DPT. The NPI Number for Charles Kirchem IV is 1023341864 and holds a License No. 07655 (Louisiana).

The current practice location address for Charles Kirchem IV is 12371 Highway 90, Luling, LA and can be reached out via phone at 985-331-1001 and via fax at 985-331-1005.

Location: 12371 Highway 90, Luling, LA, 70070
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023341864
Provider Name
Charles Kirchem IV
Credential
DPT
Provider Entity Type
Individual
Gender
Male
Address
12371 Highway 90, Luling, LA, 70070
Phone Number
985-331-1001
Fax Number
985-331-1005
Provider Enumeration Date
09/11/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2113712 05 LA
institution
Provider Business Practice Location Address Details
Address
12371 Highway 90
City
Luling
State
Louisiana
Zip
70070-5114
Phone Number
985-331-1001
Fax Number
985-331-1005
person
Provider Business Mailing Address Details
Address
12371 Highway 90
City
Luling
State
Louisiana
Zip
70070-5114
Phone Number
985-331-1001
Fax Number
985-331-1005
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
07655 (Louisiana)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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