Provider Demographics
NPI:1689915373
Name:ARLENE KIRSCHNER, M.D., APC
Entity Type:Organization
Organization Name:ARLENE KIRSCHNER, M.D., APC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ARLENE
Authorized Official - Middle Name:G
Authorized Official - Last Name:KIRSCHNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:907-474-4745
Mailing Address - Street 1:PO BOX 72283
Mailing Address - Street 2:
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99707-2283
Mailing Address - Country:US
Mailing Address - Phone:907-474-4745
Mailing Address - Fax:888-840-9676
Practice Address - Street 1:3419 AIRPORT WAY STE B
Practice Address - Street 2:
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99709-4761
Practice Address - Country:US
Practice Address - Phone:907-474-4745
Practice Address - Fax:907-374-8915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-06
Last Update Date:2013-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKAA2464208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKMD2464Medicaid
AKMD2464Medicaid
AKKOOOOBLBJXMedicare PIN