Individual
ADAM JACOB KICHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-0001
(570) 214-9585
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
34.012222
OH
207RG0100X
Gastroenterology Physician
OS020542
PA
208M00000X
Hospitalist Physician
Primary
OS020542
PA
Other
Enumeration date
04/05/2013
Last updated
07/13/2020
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