Individual
EMILY KERNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1201 N RUTHERFORD ST, MACON, MO 63552-2020
(660) 385-8900
Mailing address
1201 N RUTHERFORD ST, MACON, MO 63552-2020
(660) 385-8900
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2019042772
MO
Other
Enumeration date
11/08/2019
Last updated
11/08/2019
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