Individual
JARROD D KEARNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
580 N WICKHAM RD STE C, MELBOURNE, FL 32935-8400
(321) 255-7118
Mailing address
PO BOX 361095, MELBOURNE, FL 32936-1095
(321) 253-2900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9113331
FL
Other
Enumeration date
02/29/2020
Last updated
10/13/2020
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