Individual
TERRY KERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
5971 JEFFERSON ST NE, SUITE 102, ALBUQUERQUE, NM 87109-3413
(505) 761-0016
(505) 761-0025
Mailing address
5971 JEFFERSON ST NE, SUITE 102, ALBUQUERQUE, NM 87109-3413
(505) 761-0016
(505) 761-0025
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
515
NM
Other
Enumeration date
10/23/2006
Last updated
04/25/2012
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