Healthcare Provider Details

I. General information

NPI: 1851788822
Provider Name (Legal Business Name): MARY FRANCES KEARNS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2015
Last Update Date: 07/27/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 SE MONTEREY RD STE 301
STUART FL
34994
US

IV. Provider business mailing address

2086 RADNOR CT
NORTH PALM BEACH FL
33408-2158
US

V. Phone/Fax

Practice location:
  • Phone: 772-678-7474
  • Fax: 877-227-8185
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME135049
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: