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Individual

DR. JENNIFER J. KERNS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
427 S BERNARD ST, SPOKANE, WA 99204-2509
(509) 456-0107
(509) 747-2635
Mailing address
427 S BERNARD ST, SPOKANE, WA 99204-2509
(509) 456-0107
(509) 747-2635

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00003483
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000010136152
ASURIS(REGENCE BS OF ID)
ID
01
0154324
LABOR AND INDUSTRIES
WA
01
1144228982
PUBLIC ASSISTANCE
ID
05
1144228982
WA
01
19560
GROUP HEALTH
WA
01
410046467
RAILROAD MEDICARE
WA
01
8530PI
ASURIS(REGENCE NW HEALTH)
WA
01
A027
TRICARE
WA
01
WA0690
NORTHWEST BENEFIT NETWORK
WA
Enumeration date
07/13/2005
Last updated
07/31/2024
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