Provider Demographics
NPI:1750620670
Name:KIRCHNER, DONALD BRUCE
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:BRUCE
Last Name:KIRCHNER
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:D
Other - Middle Name:BRUCE
Other - Last Name:KIRCHNER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:5299 SPRING GROVE AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45217-1025
Mailing Address - Country:US
Mailing Address - Phone:513-627-4385
Mailing Address - Fax:513-530-6657
Practice Address - Street 1:5299 SPRING GROVE AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45217-1025
Practice Address - Country:US
Practice Address - Phone:513-627-4385
Practice Address - Fax:513-530-6657
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-13
Last Update Date:2013-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH690232083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine