Kyle J Kircher, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

38225 Issued in MN

Practice address

888 Thackeray TRL
Suite 103
Oconomowoc, WI 53066-4342

Phone

(262) 354-3744

Fax

(262) 354-3748

NPI assigned

Dec 20, 2005

Last updated

Dec 3, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449100800000",
    "number": "1639155872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 UNIVERSITY AVE 100",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503241607",
            "telephone_number": "952-936-6125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 THACKERAY TRL",
            "address_2": "SUITE 103",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530664342",
            "telephone_number": "262-354-3744",
            "fax_number": "262-354-3748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRCHER",
        "first_name": "KYLE",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2015-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "38225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35100200",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "919514900",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080122341",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theresa M Kerner, MA, LPC
• Kestrel Medical LLC
• Catherine D Keulks-Torinus, P.A.C.
• Evgeniya Khen, NP
• Ann M Kiesow, MA-CCCA
• Deborah J Klecker, LPC, MFT-IT, SAC-IT
• Alyssa Klein
• David Klement, OD
• Heather Mae Klemm, LCSW
• Sharon Louise Kleppe

• Family Medicine Physician in Oconomowoc, WI
• Providers in Oconomowoc, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.