Individual
KENNETH KEARNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
36600 N. PIMA RD, CAREFREE, AZ 85377
(480) 280-5085
Mailing address
PO BOX 3858, CAREFREE, AZ 85377-3858
(480) 280-5085
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
33789
AZ
207VX0201X
Gynecologic Oncology Physician
8470
MT
208D00000X
General Practice Physician
33789
AZ
Other
Enumeration date
06/30/2015
Last updated
10/13/2015
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