Provider Demographics
NPI:1871501213
Name:KERSCHNER, DAVID (DC)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:KERSCHNER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 GREENWOOD DR
Mailing Address - Street 2:
Mailing Address - City:EAST GREENBUSH
Mailing Address - State:NY
Mailing Address - Zip Code:12061-2036
Mailing Address - Country:US
Mailing Address - Phone:518-477-1080
Mailing Address - Fax:518-477-1082
Practice Address - Street 1:6 GREENWOOD DR
Practice Address - Street 2:
Practice Address - City:EAST GREENBUSH
Practice Address - State:NY
Practice Address - Zip Code:12061-2036
Practice Address - Country:US
Practice Address - Phone:518-477-1080
Practice Address - Fax:518-477-1082
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2011-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX002195-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
350043583OtherRAILROAD MEDICARE
NYCO2195-8BOtherWORKERS' COMPENSATION
NYX1320OtherEMPIRE BCBS
100160460OtherCDPHP
NY0039749OtherGHI
350043583OtherRAILROAD MEDICARE
100160460OtherCDPHP