Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | MD469781 | PA |
NPI | 1003346933 |
---|---|
Provider Name | Emily Kirchner |
First Address | Lancaster, PA 17602-2250 |
Second Address | Lancaster, PA 17602-2250 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2017 |
Last Update Date | 05/10/2020 |