Provider Demographics
NPI:1811136849
Name:KITCHNER, IRVING (MD)
Entity type:Individual
Prefix:DR
First Name:IRVING
Middle Name:
Last Name:KITCHNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6632 SW GISBOURNE CT
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66614-4455
Mailing Address - Country:US
Mailing Address - Phone:785-478-1513
Mailing Address - Fax:785-478-1247
Practice Address - Street 1:6632 SW GISBOURNE CT
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66614-4455
Practice Address - Country:US
Practice Address - Phone:785-478-1513
Practice Address - Fax:785-478-1247
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-15
Last Update Date:2009-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-274572084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry