Provider Demographics
NPI:1568288611
Name:KEARCHNER, REGINA
Entity type:Individual
Prefix:
First Name:REGINA
Middle Name:
Last Name:KEARCHNER
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 1:4230 GALLIA ST
Mailing Address - Street 2:
Mailing Address - City:NEW BOSTON
Mailing Address - State:OH
Mailing Address - Zip Code:45662-5513
Mailing Address - Country:US
Mailing Address - Phone:740-529-9188
Mailing Address - Fax:
Practice Address - Street 1:500 2ND ST APT 214
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:OH
Practice Address - Zip Code:45662-3852
Practice Address - Country:US
Practice Address - Phone:740-529-9188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-22
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant