MEDICARE: BARBARA KIREJCZYK 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	2084P0800X	Psychiatry Physician	051342	GA

General Provider Information

NPI Number	:	1225142763
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBARA KIREJCZYK MD

Provider Business Mailing Address
First Line	:	4456 KINGSTON DR
Second Line	:
City	:	HERNANDO BEACH
State	:	FL
Zip	:	34607-2936
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2804 W MARC KNIGHTON CT
Second Line	:	SUITE A
City	:	LECANTO
State	:	FL
Zip	:	34461-6300
Country	:	US
Telephone Number	:	352-746-8069
Fax Number	:

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

Provider Enumeration Date	:	08/19/2006
Last Update Date	:	05/09/2012

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