Individual
SCOTT A KIRCHNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6555 CHIPPEWA ST, SUITE 201, SAINT LOUIS, MO 63109-4110
(314) 645-8719
(314) 645-8642
Mailing address
6555 CHIPPEWA ST, SUITE 201, SAINT LOUIS, MO 63109-4110
(314) 645-8719
(314) 645-8642
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R3C11
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0400231
UNITED HEALTHCARE
—
01
—
10468
ESSENCE
—
01
—
110005208
RAILROAD MEDICARE
—
01
—
181250
HEALTHLINK
—
01
—
26D0438468
CLIA WAIVER
—
01
—
3258644
PHCS HEALTH MARKET
—
01
—
33594
GHP
—
01
—
431269659
MISCELLANEOUS
—
01
—
5453
ONE HEALTH
—
01
—
9364
BLUE CROSS
—
01
—
A11500
MERCY HEALTH PLAN
—
01
—
BLC9364
BLUE CHOICE
—
Enumeration date
09/07/2005
Last updated
01/31/2013
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