Individual
CARRIE LEIGH KERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11601 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87111-2660
(505) 207-3421
(505) 702-8171
Mailing address
2100 SW 119TH ST, OKLAHOMA CITY, OK 73170-3437
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201995
OK
363LF0000X
Family Nurse Practitioner
AP142648
TX
363LF0000X
Family Nurse Practitioner
CNP-73109
NM
Other
Enumeration date
11/07/2019
Last updated
06/28/2023
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