| NPI | 1891977088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY ANDREW KIRK Direct Owner 610-367-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: PA SC004605L) |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2008-04-22 |