Individual
JESSICA KERNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSAT, LAT, ATC
Contact information
Practice address
6001 W CASSIA ST, BOISE, ID 83709-2199
(208) 854-4442
Mailing address
2146 S LINDA VISTA PL, BOISE, ID 83709-8246
(208) 921-3915
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-584
ID
Other
Enumeration date
05/23/2018
Last updated
05/23/2018
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