# DANYELLE DAWN KERNS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1669805818
- **Gender:** F
- **Credential:** NP-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 2013010840 | MO | Yes |
| 363LF0000X | Family Nurse Practitioner | 2013010840 | MO | — |

## Other

- **Enumeration date:** 08/12/2013
- **Last updated:** 10/11/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1669805818 | — | MO |