Individual
KYLE J KIRCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
888 THACKERAY TRL, SUITE 103, OCONOMOWOC, WI 53066-4342
(262) 354-3744
(262) 354-3748
Mailing address
6500 UNIVERSITY AVE 100, DES MOINES, IA 50324-1607
(952) 936-6125
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38225
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080122341
RAILROAD MEDICARE
MN
05
—
35100200
—
WI
05
—
919514900
—
MN
05
—
ENROLLED
—
IA
Enumeration date
12/20/2005
Last updated
12/03/2015
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