Dr. Jeffrey Edmund Kirchner, O.D.
Optometrist in Lafayette, IN. Individual provider (NPI-1).
NPI number1124180799
StatusActive
Last updated in NPPESFeb 26, 2015
Details
- NPI
- 1124180799
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jeffrey Edmund Kirchner
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 13, 2006
- Last updated
- Feb 26, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 18002997A | IN | Yes |
Practice location
2200 Elmwood AveLafayette, IN 47904-2358
Phone 765-446-2814
Mailing address
2200 Elmwood AveLafayette, IN 47904-2358
Phone 765-446-2814
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