Individual
JOHN ROBERT KEARNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
21766
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30711800
WISC MEDICAID
—
01
—
550S1KE
BLUE CROSS BLUE SHIELD
—
01
—
902655
MEDICA
—
01
—
969990831002
PREFERREDONE
—
01
—
HP13670
HEALTHPARTNERS
—
Enumeration date
08/15/2006
Last updated
07/10/2007
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