Provider Demographics
NPI:1801972492
Name:KIRCH, PERRY J (DC)
Entity type:Individual
Prefix:
First Name:PERRY
Middle Name:J
Last Name:KIRCH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 TIMBER DRIVE
Mailing Address - Street 2:
Mailing Address - City:GARNER
Mailing Address - State:NC
Mailing Address - Zip Code:27529
Mailing Address - Country:US
Mailing Address - Phone:919-779-2225
Mailing Address - Fax:919-779-9569
Practice Address - Street 1:205 TIMBER DRIVE
Practice Address - Street 2:
Practice Address - City:GARNER
Practice Address - State:NC
Practice Address - Zip Code:27529
Practice Address - Country:US
Practice Address - Phone:919-779-2225
Practice Address - Fax:919-779-9569
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2662111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2340035OtherAETNA
NC890842RMedicaid
2210183OtherFIRST HEALTH
943428126OtherCIGNA HEALTHCARE
NC0842ROtherBLUE CROSS BLUE SHIELD
36621OtherPARTNERS HEALTH INS
614113OtherAMERICAN CHIRO NETWORK
943428126OtherUNITED HEALTHCARE
NC890842RMedicaid
943428126OtherUNITED HEALTHCARE