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NPI Code Detail

MEDICARE: DR. JONATHAN EDWARD KINSCHERFF PHARMD

MEDICARE: DR. JONATHAN EDWARD KINSCHERFF PHARMD
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
11835X0200XOncology Pharmacist051295999IL

General Provider Information

NPI Number : 1316343239
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JONATHAN EDWARD KINSCHERFF PHARMD
Provider Business Mailing Address
First Line : 816 FEATHERSTONE RD
Second Line :
City : ROCKFORD
State : IL
Zip : 61107-6300
Country : US
Telephone Number : 815-227-0081
Fax Number :
Provider Business Practice Location Address
First Line : 816 FEATHERSTONE RD
Second Line :
City : ROCKFORD
State : IL
Zip : 61107-6300
Country : US
Telephone Number : 815-227-0081
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2014
Last Update Date : 11/05/2014

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