MEDICARE: DR. DARREN EVAN KIRCHNER D.C.

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	111NI0900X	Internist Chiropractor	2007031161	MO

General Provider Information

NPI Number	:	1538358544
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DARREN EVAN KIRCHNER D.C.

Provider Business Mailing Address
First Line	:	374 W COMMERCIAL ST
Second Line	:	PO BOX 13
City	:	KAHOKA
State	:	MO
Zip	:	63445-1453
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	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/16/2007
Last Update Date	:	10/16/2007

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