Provider Demographics
NPI:1164697819
Name:KIPCHIRCHIR, JANE J
Entity Type:Individual
Prefix:MS
First Name:JANE
Middle Name:J
Last Name:KIPCHIRCHIR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5401 COLUMBIA RD
Mailing Address - Street 2:APT.921
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-5563
Mailing Address - Country:US
Mailing Address - Phone:443-413-2730
Mailing Address - Fax:
Practice Address - Street 1:5401 COLUMBIA RD
Practice Address - Street 2:APT.921
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-5563
Practice Address - Country:US
Practice Address - Phone:443-413-2730
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-24
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other