Healthcare Provider Details

I. General information

NPI: 1366487589
Provider Name (Legal Business Name): PATIENT CHOICE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2006
Last Update Date: 05/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 COMFORT WAY SUITE 1
LEXINGTON VA
24450-3788
US

IV. Provider business mailing address

55 COMFORT WAY SUITE 1
LEXINGTON VA
24450-3788
US

V. Phone/Fax

Practice location:
  • Phone: 540-463-3381
  • Fax: 540-463-3477
Mailing address:
  • Phone: 540-463-3381
  • Fax: 540-463-3477

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. WALTER CHARLES KERSCHL
Title or Position: PRESIDENT
Credential: MD
Phone: 540-463-3381