Individual
DR. RICHARD CHARLES KERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4408 N KNOXVILLE AVE, SUITE C, PEORIA, IL 61614-6084
(309) 682-6214
(309) 682-6236
Mailing address
4408 N KNOXVILLE AVE, SUITE C, PEORIA, IL 61614-6084
(309) 682-6214
(309) 682-6236
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0467198
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046007198
—
IL
Enumeration date
01/02/2007
Last updated
05/16/2008
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