Individual
DANIEL MICHAEL KEARNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1519 GRAND AVE, SUPERIOR, WI 54880-2859
(715) 817-3193
Mailing address
1519 GRAND AVE, SUPERIOR, WI 54880-2859
(715) 817-3193
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/09/2020
Last updated
09/09/2020
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