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NPI Code Detail

MEDICARE: DR. DEANNA MARIE KIRCHMAYER MD

MEDICARE: DR. DEANNA MARIE KIRCHMAYER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1204C00000XSports Medicine (Neuromusculoskeletal Medicine) Physician34650NC
2208100000XPhysical Medicine & Rehabilitation Physician34650NC

General Provider Information

NPI Number : 1265500250
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DEANNA MARIE KIRCHMAYER MD
Provider Business Mailing Address
First Line : PO BOX 22239
Second Line :
City : NEW YORK
State : NY
Zip : 10087-0001
Country : US
Telephone Number : 201-654-6397
Fax Number : 201-608-9241
Provider Business Practice Location Address
First Line : 2401 S SIDE BLVD
Second Line :
City : GREENSBORO
State : NC
Zip : 27406-3311
Country : US
Telephone Number : 201-654-6397
Fax Number : 201-608-9241
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2006
Last Update Date : 04/29/2026

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