Individual
SUSAN KERNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
100 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(855) 446-5937
(740) 446-5573
Mailing address
100 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5387
(740) 446-5982
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
34.015347
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0466409
—
OH
Enumeration date
03/14/2016
Last updated
03/03/2022
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