# JOHN ROBERT KEARNS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1467465807
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 21766 | MN | Yes |

## Other

- **Enumeration date:** 08/15/2006
- **Last updated:** 07/10/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 30711800 | WISC MEDICAID | — |
| 01 | — | 550S1KE | BLUE CROSS BLUE SHIELD | — |
| 01 | — | 902655 | MEDICA | — |
| 01 | — | 969990831002 | PREFERREDONE | — |
| 01 | — | HP13670 | HEALTHPARTNERS | — |