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Individual

ALAN LLOYD KEARNS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
402 S 4TH AVE, YAKIMA, WA 98902-3546
(509) 575-4084
Mailing address
402 S 4TH AVE, YAKIMA, WA 98902-3546
(509) 575-4084

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LW60296750
WA
101YM0800X
Mental Health Counselor
SC60113634
WA
363A00000X
Physician Assistant
Primary
PA60680701
WA

Other

Enumeration date
10/08/2008
Last updated
09/02/2016
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