Individual
ORENA J KIRCHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
310 LAFAYETTE AVE SE, SUITE 400, GRAND RAPIDS, MI 49503-4693
(616) 752-6525
(616) 752-6556
Mailing address
310 LAFAYETTE AVE. SE, SUITE 400, GRAND RAPIDS, MI 49503-4693
(616) 752-6525
(616) 752-6556
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704276805
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704276805
STATE LICENSE NUMBER
MI
Enumeration date
07/19/2016
Last updated
07/19/2016
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