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

Mary Kathleen Kirchner

Individual provider Physician Assistant · NPI 1215726179

Mary Kathleen Kirchner is a Physician Assistant in Kingston, Pennsylvania. Qualified in 2023, 3 years ago. Practices with Commonwealth Physician Network LLC, a 63-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
3
In the registry since
2025
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Practice location Address checks out

610 Wyoming Ave
Kingston, PA 18704-3702
Phone: (570) 288-5441
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1215726179
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 6, 2025
Last updated in NPPESJune 2, 2025
Certification dateJune 2, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Commonwealth Physician Network Llc — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

Other providers in Kingston