Individual
ELIZABETH KERNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1818 WENT AVE, SUITE A, MISHAWAKA, IN 46545-6482
(765) 288-1928
(765) 741-0335
Mailing address
240 N TILLOTSON AVE, MUNCIE, IN 47304-3988
(765) 288-1928
(765) 741-0335
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/28/2016
Last updated
11/28/2016
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