Provider Demographics
NPI:1831322452
Name:URSCHEL, KEIRA BEACHLER (MD)
Entity type:Individual
Prefix:DR
First Name:KEIRA
Middle Name:BEACHLER
Last Name:URSCHEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:KEIRA
Other - Middle Name:REBECCA
Other - Last Name:BEACHLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:10500 MONTGOMERY RD
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:OH
Mailing Address - Zip Code:45242-4402
Mailing Address - Country:US
Mailing Address - Phone:518-652-2246
Mailing Address - Fax:513-865-5552
Practice Address - Street 1:10500 MONTGOMERY RD
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:OH
Practice Address - Zip Code:45242-4402
Practice Address - Country:US
Practice Address - Phone:518-652-2246
Practice Address - Fax:513-865-5552
Is Sole Proprietor?:No
Enumeration Date:2009-08-30
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1399792207V00000X
PAMT195964390200000X
OH35-123767207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program