Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenneth T Kircher, DO

Individual provider Dermatology Physician · NPI 1417929217

Kenneth T Kircher, DO is a Dermatology in Lake Katrine, New York. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 1997, 29 years ago. Practices with Advanced Dermatology, PLLC, a 12-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
29
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
NY
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

2215 Rt 9W
Lake Katrine, NY 12449-0774
Phone: (845) 336-8572
Fax: (845) 336-8592
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 2106171 (NY)

Record details

NPI number1417929217
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedFebruary 6, 2006
Last updated in NPPESJuly 13, 2026
Mailing address2215 Rt 9w, Po Box 774, Lake Katrine, NY 12449-0774

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 1997 (29 years in practice)
Group practice Advanced Dermatology, Pllc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lake Katrine