MEDICARE: KENNETH E 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
1	111N00000X	Chiropractor	002829	MO

General Provider Information

NPI Number	:	1396765830
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KENNETH E KIRCHNER

Provider Business Mailing Address
First Line	:	PO BOX 13
Second Line	:
City	:	KAHOKA
State	:	MO
Zip	:	63445-0013
Country	:	US
Telephone Number	:	660-727-3677
Fax Number	:	660-727-2222

Provider Business Practice Location Address
First Line	:	374 W COMMERCIAL ST
Second Line	:
City	:	KAHOKA
State	:	MO
Zip	:	63445-1453
Country	:	US
Telephone Number	:	660-727-3677
Fax Number	:	660-727-2222

Authorized Official
Title or Position	:	OWNER
Name	:	DR. K E KIRCHNER
Credential	:	D. C.
Telephone Number	:	660-727-3677

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	08/22/2020

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Directions to “KENNETH E KIRCHNER ” Practice Location

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