Dr Kevin Matthew Kerchansky, DC, FNP-C, DACRB is a
Nurse Practitioner - Family based in Phoenix, Arizona. Dr Kevin Matthew Kerchansky is licensed to practice in Arizona (license number 251086) and his current practice location is
6036 N 19th Ave Ste 204, Phoenix, Arizona. He can be reached at his office (for appointments etc.) via phone at
(480) 616-0356.
NPI number for Dr Kevin Matthew Kerchansky is 1407988785 and his current mailing address is Po Box 29650 Dept # 880391, Phoenix, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1407988785.
Healthcare Provider's Profile
| Full Name | Dr Kevin Matthew Kerchansky |
|---|
| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
|---|
| Location | 6036 N 19th Ave Ste 204, Phoenix, Arizona |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1407988785
- Provider Enumeration Date: 03/12/2007
- Last Update Date: 09/28/2022
Medical Identifiers
Medical identifiers for Dr Kevin Matthew Kerchansky such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407988785 | NPI | - | NPPES |
| 11172882 | Other | OH | CAQH # |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | 3728 (Ohio) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 251086 (Arizona) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kevin Matthew Kerchansky is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Kevin Matthew Kerchansky, DC, FNP-C, DACRB
Po Box 29650 Dept # 880391,
Phoenix, AZ 85038
Ph: (480) 626-1746 | Dr Kevin Matthew Kerchansky, DC, FNP-C, DACRB
6036 N 19th Ave Ste 204,
Phoenix, AZ 85015-2104
Ph: (480) 616-0356 |
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