Individual
MICHAEL J KEARNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6600 MERCY CT STE 180, FAIR OAKS, CA 95628-3198
(916) 966-2700
(916) 966-0749
Mailing address
1111 EXPOSITION BLVD, BLDG 700, SACRAMENTO, CA 95815-4300
(916) 736-3408
(916) 233-4171
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
A46894
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040017592
RAILROAD MEDICARE PIN
CA
Enumeration date
05/24/2005
Last updated
12/17/2019
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