=====================================================
General NPI Number Information
=====================================================
NPI Number | 1538137849
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | LARIEN D KEARNS M.D.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/11/2006
-----------------------------------------------------
Last Update Date | 08/29/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 55 FOUNDATION DR
-----------------------------------------------------
City | FLEMINGSBURG
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 41041-9815
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 606-849-2675
-----------------------------------------------------
Fax | 606-849-2743
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 55 FOUNDATION DR PO BOX 388
-----------------------------------------------------
City | FLEMINGSBURG
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 41041-9815
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 606-849-2675
-----------------------------------------------------
Fax | 606-849-2743
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number | 23250
-----------------------------------------------------
License Number State | KY
-----------------------------------------------------