Jennifer Ann Kern Pllc | |
3880 N Stockton Hill Rd Ste 103-443 Kingman AZ 86409-0595 | |
(928) 846-5824 | |
Not Available |
Full Name | Jennifer Ann Kern Pllc |
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Speciality | Clinic/Center |
Location | 3880 N Stockton Hill Rd Ste 103-443, Kingman, Arizona |
Authorized Official Name and Position | Jennifer Kern (FNP-BC) |
Authorized Official Contact | 9288465824 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jennifer Ann Kern Pllc 3880 N Stockton Hill Rd Ste 103-443 Kingman AZ 86409-0595 Ph: (928) 846-5824 | Jennifer Ann Kern Pllc 3880 N Stockton Hill Rd Ste 103-443 Kingman AZ 86409-0595 Ph: (928) 846-5824 |
NPI Number | 1821656315 |
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Provider Enumeration Date | 05/30/2019 |
Last Update Date | 12/02/2019 |
Medicare PECOS PAC ID | 5890128086 |
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Medicare Enrollment ID | O20191202000765 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821656315 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Jennifer A Kern |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992113906 PECOS PAC ID: 1355563875 Enrollment ID: I20141117000089 |
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