Individual
DR. JOHN R KEARNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4551 FLEUR DR, DES MOINES, IA 50321-2331
(515) 287-2493
Mailing address
5328 GLEN OAKS WAY, WEST DES MOINES, IA 50266-6668
(515) 287-2493
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6678
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1190660
—
IA
01
—
19006
BCBS PROVIDER NUMBER
IA
01
—
6678
DELTA DENTAL PROVIDER NUM
IA
Enumeration date
11/20/2006
Last updated
07/09/2007
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