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NPI Code Detail

MEDICARE: HALEY KIRCHNER

MEDICARE: HALEY KIRCHNER
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
1103K00000XBehavior Analyst295785KY

General Provider Information

NPI Number : 1578384400
Entity Type Code : Individual
Provider Name (Legal Business Name) : HALEY KIRCHNER
Provider Business Mailing Address
First Line : 8920 STONE GREEN WAY
Second Line :
City : LOUISVILLE
State : KY
Zip : 40220-4072
Country : US
Telephone Number : 502-915-8343
Fax Number :
Provider Business Practice Location Address
First Line : 8920 STONE GREEN WAY
Second Line :
City : LOUISVILLE
State : KY
Zip : 40220-4072
Country : US
Telephone Number : 502-915-8343
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2024
Last Update Date : 10/23/2024

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Directions to “ HALEY KIRCHNER ” Practice Location

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