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NPI Code Detail

MEDICARE: DR. AMY BRIANNE KERNS DDS

MEDICARE: DR. AMY BRIANNE KERNS DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223P0221XPediatric Dentistry62022KS

General Provider Information

NPI Number : 1154905602
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMY BRIANNE KERNS DDS
Provider Business Mailing Address
First Line : 6204 W 61ST TER
Second Line :
City : MISSION
State : KS
Zip : 66202-3523
Country : US
Telephone Number : 479-287-3552
Fax Number :
Provider Business Practice Location Address
First Line : 8226 MISSION RD
Second Line :
City : PRAIRIE VILLAGE
State : KS
Zip : 66208-5211
Country : US
Telephone Number : 913-378-9610
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2021
Last Update Date : 03/30/2026

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