Individual
TOM KERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., L.P.
Contact information
Practice address
11800 SINGLETREE LN, #203, EDEN PRAIRIE, MN 55344-5328
(952) 944-5502
Mailing address
9637 ANDERSON LAKES PKWY, STE. #162, EDEN PRAIRIE, MN 55344-4155
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
LP0289
MN
103T00000X
Psychologist
Primary
LP0289
MN
103TC0700X
Clinical Psychologist
LP0289
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123553
UCARE
MN
01
—
279S6KE
BLUE CROSS BLUE SHIELD MN
MN
01
—
61-70220
MEDICA AND UBH
MN
01
—
HP30512
HEALTHPARTNERS
MN
Enumeration date
02/15/2006
Last updated
09/11/2025
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