Provider Demographics
NPI:1417785387
Name:KIRCHNER, JULIA RAE
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:RAE
Last Name:KIRCHNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3101 YOUNGTOWN CT
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40272-3075
Mailing Address - Country:US
Mailing Address - Phone:502-345-8774
Mailing Address - Fax:
Practice Address - Street 1:3101 YOUNGTOWN CT
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40272-3075
Practice Address - Country:US
Practice Address - Phone:502-345-8774
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-23
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist