Individual
JOHN P KEARNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
355 E 21ST ST STE C, SAN BERNARDINO, CA 92404-4851
(909) 883-6811
(909) 883-2494
Mailing address
355 E 21ST ST STE C, SAN BERNARDINO, CA 92404-4851
(909) 883-6811
(909) 883-2494
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G26058
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G260580
—
CA
Enumeration date
07/10/2006
Last updated
12/04/2018
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