Provider Demographics
NPI:1053383711
Name:KIRSCHNER, ARLENE GAY (MD APC)
Entity type:Individual
Prefix:
First Name:ARLENE
Middle Name:GAY
Last Name:KIRSCHNER
Suffix:
Gender:F
Credentials:MD APC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 72283
Mailing Address - Street 2:
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99707-2283
Mailing Address - Country:US
Mailing Address - Phone:907-474-4745
Mailing Address - Fax:907-374-8915
Practice Address - Street 1:3419 AIRPORT WAY STE B
Practice Address - Street 2:
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99709-4761
Practice Address - Country:US
Practice Address - Phone:907-474-4745
Practice Address - Fax:907-374-8715
Is Sole Proprietor?:No
Enumeration Date:2006-02-06
Last Update Date:2013-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AKAA2464208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKMD2464Medicaid
AKE36791Medicare UPIN