Individual
DR. GREGORY VIRGIL KERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
606 E 38TH ST, DAVENPORT, IA 52807-1604
(563) 386-9119
Mailing address
708 N LINCOLN AVE, DAVENPORT, IA 52804-4105
(563) 323-4310
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A05284
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19834
PIN
IA
Enumeration date
01/25/2007
Last updated
07/08/2007
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