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1952379521

NPI Code Detail

MEDICARE: DR. JOHN SHIRK KIRCHNER MD

MEDICARE: DR. JOHN SHIRK KIRCHNER 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	207X00000X	Orthopaedic Surgery Physician	20938	AL
2	207XX0004X	Orthopaedic Foot and Ankle Surgery Physician	20938	AL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	101I201497	OTHER	AL	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	511-66142	OTHER	AL	BCBS

General Provider Information

NPI Number	:	1952379521
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN SHIRK KIRCHNER MD

Provider Business Mailing Address
First Line	:	4517 SOUTHLAKE PKWY
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35244-3280
Country	:	US
Telephone Number	:	205-985-4111
Fax Number	:	205-985-4326

Provider Business Practice Location Address
First Line	:	4517 SOUTHLAKE PKWY
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35244-3280
Country	:	US
Telephone Number	:	205-985-4111
Fax Number	:	205-985-4326

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

Provider Enumeration Date	:	03/09/2006
Last Update Date	:	05/09/2023

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Directions to “ DR. JOHN SHIRK KIRCHNER MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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