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MARK ANDREW KEARNS PAC

Medical >> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1841314705

Individual Registrant:
 MARK ANDREW KEARNS PAC
Gender: M
Not Sole Proprietor

Location and contact information for practice:
RR 1 BOX 67  HARLEM, MT 59526-9705 US
Tel: 406-353-3100  Fax: 406-353-3229

Contact information for business:
PO BOX 35  SUNBURST, MT 59482-0035 US
Tel: 406-937-3610  Fax: --

Registration Information:
NPI: 1841314705
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363AM0700XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
Medical
MT363

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
LICENSE363MT01




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