Provider Demographics
NPI:1457541955
Name:KIRCHNER, KEVIN RANDALL (MD)
Entity Type:Individual
Prefix:MR
First Name:KEVIN
Middle Name:RANDALL
Last Name:KIRCHNER
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3901 HOUMA BLVD
Mailing Address - Street 2:SUITE 216
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-2930
Mailing Address - Country:US
Mailing Address - Phone:504-454-0158
Mailing Address - Fax:504-454-0167
Practice Address - Street 1:3434 PRYTANIA ST.
Practice Address - Street 2:SUITE 250
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-3551
Practice Address - Country:US
Practice Address - Phone:504-891-1988
Practice Address - Fax:504-899-1895
Is Sole Proprietor?:No
Enumeration Date:2007-07-31
Last Update Date:2021-03-31
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Provider Licenses
StateLicense IDTaxonomies
LA202193207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1000787Medicaid