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Individual
PATRICIA JO KEARNEY
Active
Individual
PATRICIA JO KEARNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1060
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
79286
—
NM
01
—
NM00Q018
BLUE CROSS BLUE SHIELD
NM
Enumeration date
08/25/2005
Last updated
01/26/2016
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