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Individual
KERN LEE BARROW
Active
Individual
KERN LEE BARROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
102509
NC
363AM0700X
Medical Physician Assistant
102509
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295737963
—
NC
05
—
1329PA
—
SC
05
—
8101670
—
NC
01
—
P00414499
RAIL ROAD MEDICARE
NC
Enumeration date
08/12/2005
Last updated
12/30/2016
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