Individual
DANYELLE DAWN KERNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
220 S WOODBINE RD, SAINT JOSEPH, MO 64506-3447
(816) 676-1300
(816) 676-1400
Mailing address
220 S WOODBINE RD, SAINT JOSEPH, MO 64506-3447
(816) 676-1300
(816) 676-1400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2013010840
MO
363LF0000X
Family Nurse Practitioner
2013010840
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669805818
—
MO
Enumeration date
08/12/2013
Last updated
10/11/2018
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