Provider Demographics
NPI:1497591168
Name:EICHINGER, KERA
Entity type:Individual
Prefix:
First Name:KERA
Middle Name:
Last Name:EICHINGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KERA
Other - Middle Name:
Other - Last Name:DUNNING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1270 N NORTHWOOD CENTER CT
Mailing Address - Street 2:
Mailing Address - City:COEUR D ALENE
Mailing Address - State:ID
Mailing Address - Zip Code:83814-2664
Mailing Address - Country:US
Mailing Address - Phone:208-769-4222
Mailing Address - Fax:
Practice Address - Street 1:1270 N NORTHWOOD CENTER CT
Practice Address - Street 2:
Practice Address - City:COEUR D ALENE
Practice Address - State:ID
Practice Address - Zip Code:83814-2664
Practice Address - Country:US
Practice Address - Phone:208-769-4222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-02
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator