MEDICARE: CRAIG H KERNS M.S.

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
1	101YM0800X	Mental Health Counselor	MH 7845	FL
2	106H00000X	Marriage & Family Therapist	MT2589	FL

General Provider Information

NPI Number	:	1811226186
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CRAIG H KERNS M.S.

Provider Business Mailing Address
First Line	:	PO BOX 30004
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33420-0004
Country	:	US
Telephone Number	:	561-379-4337
Fax Number	:

Provider Business Practice Location Address
First Line	:	2575 LONE PINE RD
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-2447
Country	:	US
Telephone Number	:	561-379-4337
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/16/2009
Last Update Date	:	07/02/2015

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