Provider Demographics
NPI:1023404431
Name:KIRCHNER, KAREN J (MD, MPH)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:J
Last Name:KIRCHNER
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:894 BIRCHWOOD LN
Mailing Address - Street 2:
Mailing Address - City:NISKAYUNA
Mailing Address - State:NY
Mailing Address - Zip Code:12309-3109
Mailing Address - Country:US
Mailing Address - Phone:859-750-3979
Mailing Address - Fax:
Practice Address - Street 1:894 BIRCHWOOD LN
Practice Address - Street 2:
Practice Address - City:NISKAYUNA
Practice Address - State:NY
Practice Address - Zip Code:12309-3109
Practice Address - Country:US
Practice Address - Phone:859-750-3979
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-13
Last Update Date:2015-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY198621-1207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine