Individual
STEPHAN F KIRCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 436-4658
Mailing address
20 PRESTIGE PLZ, SUITE 100, MIAMISBURG, OH 45342-5354
(937) 436-4658
(937) 436-4984
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
34007289
OH
207P00000X
Emergency Medicine Physician
Primary
34-007289
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2244717
—
OH
01
—
4049972
MEDICARE PTAN
OH
01
—
4049973
MEDICARE PTAN
OH
Enumeration date
12/30/2005
Last updated
03/27/2013
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