# JEFFREY KIRCHNER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1104864214
- **Gender:** Man
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | OS005934L | PA | Yes |

## Other

- **Enumeration date:** 06/02/2006
- **Last updated:** 10/05/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000127153 | UNISON | PA |
| 01 | — | 000615948 | HIGHMARK BLUE SHIELD | PA |
| 05 | — | 0012205460004 | — | PA |
| 01 | — | 0444252000 | INDEPENDENCE BLUE CROSS | PA |
| 01 | — | 080100818 | RAILROAD MEDICARE | PA |
| 01 | — | 20074910 | AMERIHEALTH MERCY | PA |
| 01 | — | 4257191 | AETNA | PA |
| 01 | — | 50082783 | CAPITAL BLUE CROSS | PA |
| 01 | — | P002788 | GATEWAY | PA |