Individual
KATHLEEN D KIRCHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
N10565 GRANDVIEW LN, IRONWOOD, MI 49938-9622
(906) 932-1500
(906) 932-5091
Mailing address
N10565 GRANDVIEW LN, IRONWOOD, MI 49938-9622
(906) 932-1500
(906) 932-5630
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704153747
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1045641
PREFERREDONE
—
05
—
41269100
—
WI
01
—
429G6KI
BCBS
MN
05
—
4788543
—
MI
Enumeration date
11/19/2005
Last updated
04/07/2010
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