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NPI Code Detail

MEDICARE: MS. WENDY G. KIRCHHOFER BSN, RN, GERO-BC

MEDICARE: MS. WENDY G. KIRCHHOFER BSN, RN, GERO-BC
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
1163WR0400XRehabilitation Registered Nurse190878TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1190878OTHERTNRN LICENSE

General Provider Information

NPI Number : 1013770809
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. WENDY G. KIRCHHOFER BSN, RN, GERO-BC
Provider Business Mailing Address
First Line : 4417 COSTER RD
Second Line :
City : KNOXVILLE
State : TN
Zip : 37912-4124
Country : US
Telephone Number : 865-566-8437
Fax Number :
Provider Business Practice Location Address
First Line : 4417 COSTER RD
Second Line :
City : KNOXVILLE
State : TN
Zip : 37912-4124
Country : US
Telephone Number : 865-566-8437
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2024
Last Update Date : 02/05/2024

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