| Kirchner Headache Clinic, Pc | |
|
13906 Gold Cir Suite 101 Omaha NE 68144-2336 | |
| (402) 759-2910 | |
| (402) 758-2956 |
| Full Name | Kirchner Headache Clinic, Pc |
|---|---|
| Speciality | Clinic/center |
| Location | 13906 Gold Cir, Omaha, Nebraska |
| Authorized Official Name and Position | John R Kirchner (MD) |
| Authorized Official Contact | 4027582910 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kirchner Headache Clinic, Pc 13906 Gold Cir Suite 101 Omaha NE 68144-2336 Ph: (402) 758-2910 | Kirchner Headache Clinic, Pc 13906 Gold Cir Suite 101 Omaha NE 68144-2336 Ph: (402) 759-2910 |
| NPI Number | 1861455859 |
|---|---|
| Provider Enumeration Date | 04/10/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861455859 | NPI | - | NPPES |
| 10025078400 | Medicaid | NE | |
| 1904185 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 10745 (Nebraska) | Primary |
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