Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | 40439 | GA |
NPI | 1417988817 |
---|---|
Provider Name | Kevin Kirchner |
First Address | Atlanta, GA 30328-4255 |
Second Address | Atlanta, GA 30328-4255 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2006 |
Last Update Date | 25/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E93901 | (02) |