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Individual
JOSEPH ROBERT KEARNS
Active
Individual
JOSEPH ROBERT KEARNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, PT, OCS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006546
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0800006546CT01
BLUE CROSS BLUE SHIELD ID
CT
Enumeration date
05/11/2006
Last updated
12/26/2007
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