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NPI Code Detail

MEDICARE: MRS. PAMELA S KERN PCC

MEDICARE: MRS. PAMELA S KERN PCC
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
1101YP2500XProfessional CounselorE0003364OH

General Provider Information

NPI Number : 1437274289
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PAMELA S KERN PCC
Provider Business Mailing Address
First Line : 4829 MUNSON ST NW
Second Line :
City : CANTON
State : OH
Zip : 44718-3630
Country : US
Telephone Number : 330-244-9499
Fax Number :
Provider Business Practice Location Address
First Line : 4829 MUNSON ST NW
Second Line :
City : CANTON
State : OH
Zip : 44718-3630
Country : US
Telephone Number : 330-244-9499
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2007
Last Update Date : 12/02/2014

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Directions to “ MRS. PAMELA S KERN PCC” Practice Location

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