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NPI Code Detail

MEDICARE: KATHLEEN KERN

MEDICARE:   KATHLEEN  KERN
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
1225X00000XOccupational Therapist010570-1NY

General Provider Information

NPI Number : 1568720621
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN KERN
Provider Business Mailing Address
First Line : 1166 NEILL AVE
Second Line :
City : BRONX
State : NY
Zip : 10461-1739
Country : US
Telephone Number : 718-863-9829
Fax Number :
Provider Business Practice Location Address
First Line : 1166 NEILL AVE
Second Line :
City : BRONX
State : NY
Zip : 10461-1739
Country : US
Telephone Number : 718-863-9829
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2012
Last Update Date : 04/26/2012

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Directions to “ KATHLEEN KERN ” Practice Location

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