Individual
DENNIS P KEARNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
840 E HILL AVE, MOSES LAKE, WA 98837-2238
(509) 765-0216
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00021736
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417973751
—
WA
01
—
35515
L&I
WA
01
—
P01292744
RR MEDICARE
WA
Enumeration date
07/13/2006
Last updated
05/28/2014
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