Individual
KATHLEEN ELIZABETH KEARNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
205 CRABTREE LN, JACKSON, WY 83001-8710
(254) 974-3011
Mailing address
PO BOX 2912, JACKSON, WY 83001-2912
(254) 974-3011
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
52362
WY
Other
Enumeration date
10/31/2023
Last updated
10/31/2023
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