MEDICARE: SARAH NICOLE KIRCHHOFF 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
1	207Q00000X	Family Medicine Physician	2018017439	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1629459045
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH NICOLE KIRCHHOFF MD

Provider Business Mailing Address
First Line	:	1 HOSPITAL DR
Second Line	:	MA303, DC032.00
City	:	COLUMBIA
State	:	MO
Zip	:	65212-1000
Country	:	US
Telephone Number	:	573-884-2912
Fax Number	:	573-884-4122

Provider Business Practice Location Address
First Line	:	905 S MAIN ST
Second Line	:
City	:	CONCORDIA
State	:	MO
Zip	:	64020-8335
Country	:	US
Telephone Number	:	660-463-7966
Fax Number	:	660-463-7729

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2015
Last Update Date	:	02/06/2026

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