Individual
DR. NICOLE TAN KIRCHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
421 N MAIN ST, PRIMARY CARE (111), LEEDS, MA 01053-9764
(413) 584-4040
(413) 582-3185
Mailing address
421 N MAIN ST, PRIMARY CARE (111), LEEDS, MA 01053-9764
(413) 584-4040
(413) 582-3185
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
241900
MA
Other
Enumeration date
05/15/2007
Last updated
03/01/2017
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