Individual
MARSHA R KIRCHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CF-NP
Contact information
Practice address
615 N PROMENADE ST, HAVANA, IL 62644-1243
(309) 543-6600
(309) 543-2089
Mailing address
615 N PROMENADE ST, P O BOX 530, HAVANA, IL 62644-1243
(309) 543-6600
(309) 543-2089
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209006708
IL
Other
Enumeration date
08/23/2007
Last updated
10/27/2010
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