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Contact Information

DANIEL J KIRSE, MD
MEDICAL CENTER BLVD
WINSTON-SALEM, NC27157-0001
 Phone: 336-716-2255
 Fax: 336-713-4580
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Otolaryngology

207YP0228X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for DANIEL J KIRSE · (Male)

NPI # 1215911698
Status Active
Credentials MD
Entity Individual
Enumeration date 11/30/2005
Last updated 11/15/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 200200559
  • NC Medicaid 89131FT
  • SC Medicaid Q0055G
  • VA Medicaid 6737161
  • WV Medicaid 2005965000
  • Other 7494649 AETNA
  • NC Other 131FT BCBS
  • NC Other B7060 MEDCOST
  • NC Other 49043 PARTNERS
Hospital affiliation(s)
  • NORTH CAROLINA BAPTIST HOSPITAL - (Acute Care)
    MEDICAL CENTER BOULEVARD
    WINSTON-SALEM, NC 27157
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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