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NPI Code Detail

MEDICARE: WADE KERN NETWORK, LLC

MEDICARE: WADE KERN NETWORK, LLC
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
1103T00000XPsychologist

General Provider Information

NPI Number : 1871217166
Entity Type Code : Organization
Provider Name (Legal Business Name) : WADE KERN NETWORK, LLC
Provider Business Mailing Address
First Line : 4241 BERRY RD
Second Line :
City : GAINESVILLE
State : VA
Zip : 20155-1120
Country : US
Telephone Number : 703-239-3660
Fax Number : 703-995-0332
Provider Business Practice Location Address
First Line : 8630 GEORGIA AVE
Second Line :
City : SILVER SPRING
State : MD
Zip : 20910-3404
Country : US
Telephone Number : 703-239-3660
Fax Number : 703-995-0332
Authorized Official
Title or Position : OWNER
Name : JULIA W DOWNER
Credential :
Telephone Number : 703-239-3660
Provider Enumeration Date : 09/29/2022
Last Update Date : 04/21/2026

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Directions to “WADE KERN NETWORK, LLC ” Practice Location

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