Individual
MRS. AUDRA GABRIELSON KERNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1855 HALCYON BLVD, MONTGOMERY, AL 36117-8044
(334) 530-6387
Mailing address
1855 HALCYON BLVD, MONTGOMERY, AL 36117-8044
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
TA1813
AL
Other
Enumeration date
10/08/2015
Last updated
10/08/2015
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