Individual
DR. KENT ALAN KIRCHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 E. WOODROW WILSON BLVD, JACKSON, MS 39216-5199
(601) 362-4471
(601) 364-1456
Mailing address
1500 E. WOODROW WILSON BLVD, JACKSON, MS 39216-5199
(601) 362-4471
(601) 364-1456
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
08682
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017455
—
MS
Enumeration date
07/02/2006
Last updated
07/08/2007
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