Individual
KEVIN C KERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3100 PACIFIC BLVD SE, ALBANY, OR 97321-4553
(541) 812-0793
Mailing address
3100 PACIFIC BLVD SE, ALBANY, OR 97321-4553
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0011180
OR
Other
Enumeration date
06/22/2009
Last updated
06/22/2009
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