Individual
MR. RYAN J. KERNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS CCC-SLP
Contact information
Practice address
110 MORDINGTON AVE, CHARLES TOWN, WV 25414-1693
(304) 725-9714
Mailing address
117 COMANCHE HILL DR, HEDGESVILLE, WV 25427-3043
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202009886
VA
235Z00000X
Speech-Language Pathologist
2204000470
VA
Other
Enumeration date
05/08/2020
Last updated
08/23/2021
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