Individual
MR. KIRK JAMES KERN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
490 OAK AVE, HARAHAN, LA 70123
(504) 909-2970
(504) 738-2711
Mailing address
490 OAK AVE, HARAHAN, LA 70123
(504) 738-0679
(504) 738-2711
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT754
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H0798
BLUE CROSS
—
Enumeration date
05/16/2006
Last updated
07/08/2007
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