Individual
DR. JOEL M KICHLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
985 PENN ST STE A, BRACKENRIDGE, PA 15014-1160
(724) 671-7909
(724) 904-7953
Mailing address
985 PENN ST STE A, BRACKENRIDGE, PA 15014-1160
(724) 671-7909
(724) 904-7953
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
019480E
PA
207RG0100X
Gastroenterology Physician
Primary
MD019480E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000785202
—
PA
01
—
10929935
CAQH
—
Enumeration date
07/16/2005
Last updated
07/03/2024
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