Individual
KALI ROSE KERNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 N FAIRLAND ST, PRYOR, OK 74361-4205
(918) 825-1405
(918) 825-1406
Mailing address
109 N FAIRLAND ST, PRYOR, OK 74361-4205
(918) 825-1405
(918) 825-1406
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OK
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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