Provider Demographics
NPI:1720005481
Name:KIRCHMEIER-KROESSLER, KATHLEEN (MD)
Entity Type:Individual
Prefix:DR
First Name:KATHLEEN
Middle Name:
Last Name:KIRCHMEIER-KROESSLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:76 PARK ST
Mailing Address - Street 2:NEUROLOGY PARTNERS
Mailing Address - City:ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02703-2335
Mailing Address - Country:US
Mailing Address - Phone:508-431-2026
Mailing Address - Fax:508-431-2296
Practice Address - Street 1:76 PARK ST
Practice Address - Street 2:NEUROLOGY PARTNERS
Practice Address - City:ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02703-2335
Practice Address - Country:US
Practice Address - Phone:508-431-2026
Practice Address - Fax:508-431-2296
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA717062084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA05-00134OtherUNITED HEALTH CARE
201312OtherBLUE CHIP
MA3077390Medicaid
3655151002 SCP PALIDOtherCIGNA
RI20894-5OtherRHODE ISLAND BLUE CROSS
MA71706OtherMASSACHUSETTS MED.LISC.
MAJ09034OtherMASSACHUSETTS BLUECROSS
MA04-3507003OtherHEALTH CARE VALUE MANAGEM
RI7609OtherRHODE ISLAND MED. LISC.
MA731785OtherTUFTS
MA11190OtherHARVARD PILGRIM
MA11190OtherHARVARD PILGRIM
MAE-71066Medicare UPIN
MA731785OtherTUFTS