Individual
JESSIE LEE KERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1000 SIMMS AVE, COUNCIL BLUFFS, IA 51503-0578
(712) 310-5971
Mailing address
1000 SIMMS AVE, COUNCIL BLUFFS, IA 51503-0578
(712) 310-5971
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
079078
IA
Other
Enumeration date
03/28/2022
Last updated
03/28/2022
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