Charles Kirchem IV, DPT

NPI #1023341864 in Luling, Louisiana

Provider Information

NPI Number
1023341864
Entity Type
Individual
Name
Charles Kirchem IV, DPT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist
Credential
DPT
Enumeration Date
Sep 11, 2009
Last Updated
Aug 18, 2010

Practice Location

Address
12371 HIGHWAY 90
Address 2
SUITE D
City
Luling
ZIP Code
70070-5114
Phone
(985) 331-1001

Specialties & Taxonomy Codes

Specialty
Specialist

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