Individual
CONNIE LYNN KERNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
715 S OHIO AVE, SIDNEY, OH 45365-3213
(937) 541-3654
Mailing address
715 S OHIO AVE, SIDNEY, OH 45365-3213
(937) 541-3654
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0303679
—
OH
Enumeration date
01/19/2021
Last updated
01/19/2021
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