Individual
TINA KERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1027 BELLEVUE AVE, RICHMOND HEIGHTS, MO 63117-1851
(314) 768-8610
Mailing address
118 W COLLEGE ST, SPARTA, IL 62286-2004
(618) 446-2603
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.227684
IL
163W00000X
Registered Nurse
Primary
096078
MO
Other
Enumeration date
02/12/2013
Last updated
02/12/2013
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