Provider Demographics
NPI:1962621656
Name:KERSCHNER, MAGDALENA EVA (MD)
Entity type:Individual
Prefix:DR
First Name:MAGDALENA
Middle Name:EVA
Last Name:KERSCHNER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5405 DUPONT CIR STE A
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45150-2798
Mailing Address - Country:US
Mailing Address - Phone:513-936-3050
Mailing Address - Fax:513-745-9323
Practice Address - Street 1:5405 DUPONT CIR STE A
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:OH
Practice Address - Zip Code:45150-2798
Practice Address - Country:US
Practice Address - Phone:513-936-3050
Practice Address - Fax:513-745-9323
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY28374207LP2900X, 208VP0014X
FLME152409207LP2900X, 208VP0014X
OH35074068208VP0014X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2029950Medicaid
KY64283740Medicaid
KY64283740Medicaid
KYK035210Medicare PIN