Provider Demographics
NPI:1831322452
Name:URSCHEL, KEIRA BEACHLER (MD)
Entity Type:Individual
Prefix:DR
First Name:KEIRA
Middle Name:BEACHLER
Last Name:URSCHEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:KEIRA
Other - Middle Name:REBECCA
Other - Last Name:BEACHLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:9472 RIDINGS BLVD
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON TOWNSHIP
Mailing Address - State:OH
Mailing Address - Zip Code:45458-9733
Mailing Address - Country:US
Mailing Address - Phone:412-977-7148
Mailing Address - Fax:
Practice Address - Street 1:20 W WENGER RD
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:OH
Practice Address - Zip Code:45322-2722
Practice Address - Country:US
Practice Address - Phone:937-771-5100
Practice Address - Fax:937-832-3014
Is Sole Proprietor?:No
Enumeration Date:2009-08-30
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1399792207V00000X
PAMT195964390200000X
OH35-123767207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program