Provider Demographics
NPI:1013400241
Name:KIRCHER, KALI BARBARA (DMD)
Entity Type:Individual
Prefix:DR
First Name:KALI
Middle Name:BARBARA
Last Name:KIRCHER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1610 MORGAN ST STE 4
Mailing Address - Street 2:
Mailing Address - City:KEOKUK
Mailing Address - State:IA
Mailing Address - Zip Code:52632-3423
Mailing Address - Country:US
Mailing Address - Phone:319-524-1431
Mailing Address - Fax:319-524-5905
Practice Address - Street 1:1610 MORGAN ST STE 4
Practice Address - Street 2:
Practice Address - City:KEOKUK
Practice Address - State:IA
Practice Address - Zip Code:52632-3423
Practice Address - Country:US
Practice Address - Phone:319-524-1431
Practice Address - Fax:319-524-5905
Is Sole Proprietor?:No
Enumeration Date:2018-06-12
Last Update Date:2018-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IADDS-095591223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice