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General NPI Number Information
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NPI Number | 1497689897
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Entity Type | Individual
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Provider Name | EVAN JOSEPH KERN
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Gender |
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Dates
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Enumeration Date | 06/10/2026
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Last Update Date | 06/10/2026
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Provider Practice Location Address
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Address Line | 810 SHONEY DR SW STE 105
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City | HUNTSVILLE
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State | AL
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Zip | 35801-5450
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Country | US
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Telephone | 256-678-8182
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Fax | 256-870-3927
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Provider Business Mailing Address
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Address Line | PO BOX 640040
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City | PIKE ROAD
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State | AL
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Zip | 36064-0040
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Country | US
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Telephone | 334-649-8676
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Fax | 334-649-8676
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PTH12605
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License Number State | AL
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