| Doctor Name: | KEVIN SCOTT KIRSCHENMANN |
| NPI Number: | 1124148598 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | 5142142-3501 |
| Business Practice Address: | 245 E 680 S Cedar City, UT - 847203593 |
| Business Phone Number: | 4358677654 |
| Business Fax Number: | 4358677699 |
| Mailing Address: | 474 W 200 N, ST GEORGE |
| State: | UT |
| Postal Code: | 847704505 |
| Phone Number: | 4356345600 |
| Fax Number: | 4359868702 |
| NPI Enumeration Date: | 03/30/2007 |
| NPI Last Update Date: | 04/27/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 5142142-3501 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |