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NPI Code Detail

MEDICARE: KERRY KERNS LMSW

MEDICARE:   KERRY  KERNS  LMSW
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
1104100000XSocial WorkerMSW012618GA

General Provider Information

NPI Number : 1588528194
Entity Type Code : Individual
Provider Name (Legal Business Name) : KERRY KERNS LMSW
Provider Business Mailing Address
First Line : 1 HUNTINGTON RD STE 703
Second Line :
City : ATHENS
State : GA
Zip : 30606-7214
Country : US
Telephone Number : 706-425-8900
Fax Number :
Provider Business Practice Location Address
First Line : 2625 SANDY PLAINS RD STE 104
Second Line :
City : MARIETTA
State : GA
Zip : 30066-4290
Country : US
Telephone Number : 706-425-8900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2025
Last Update Date : 12/10/2025

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Directions to “ KERRY KERNS LMSW” Practice Location

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