Individual
DR. FREDERICK RANDALL KIRCHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
010890
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
075555501
TEXAS MEDICAID NUMBER
TX
01
—
1053315846
GROUP NPI NUMBER
LA
05
—
1148300
—
LA
01
—
610748600
ARKANSAS MEDICAID NUMBER
AR
Enumeration date
07/18/2006
Last updated
01/12/2009
Update your record
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