Individual
MR. THOMAS ALLEN KEARNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRPA-P
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CRPA-P-3728
NY
251B00000X
Case Management Agency
CRPA-P-3728
NY
251S00000X
Community/Behavioral Health Agency
CRPA-P-3728
NY
Other
Enumeration date
06/03/2019
Last updated
06/03/2019
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