Individual
MR. TRAVIS KERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
708 S JEFFERSON WAY, INDIANOLA, IA 50125-3216
(515) 962-9555
Mailing address
15836 WILDWOOD DR, CLIVE, IA 50325-7934
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
000970
IA
Other
Enumeration date
02/05/2016
Last updated
02/05/2016
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