Individual
JASON EDWARD KEARNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
949 E TAFT AVE, SAPULPA, OK 74066-5728
(918) 224-6079
Mailing address
1202 SHERIDAN DR, JOPLIN, MO 64801-1070
(620) 778-0953
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-01411
KS
363A00000X
Physician Assistant
4521
OK
Other
Enumeration date
08/05/2010
Last updated
03/06/2021
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