Individual
MICHAEL P KEARNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1140 3RD ST NE STE SPACES, WASHINGTON, DC 20002-6274
(202) 468-8823
Mailing address
1140 3RD ST NE STE SPACES, WASHINGTON, DC 20002-6274
(202) 468-8823
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LG50081628
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101Y00000X.
—
DC
Enumeration date
09/09/2021
Last updated
09/09/2021
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