Kern, Amy L.
Kern, Amy L. is an sole proprietor health care provider with primary practice located at 709 E Green Ln , Woodstock GA 30189-7028. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Kern, Amy L. can be contacted via phone (770) 722-8554.Contact Information
Primary practice address
709 E Green Ln
Woodstock GA 30189-7028
Phone: (770) 722-8554
Fax: (770) 928-1251
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | OT001215 | Georgia |
Profile Details
| NPI number | 1265598502 |
|---|---|
| LBN Legal business name | Kern, Amy L. |
| Credentials | M. ED. OTRL |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 29th, 2006 |
| Last updated | Jul 9th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265598502 | NPPES |
| Georgia | MEDICAID | 00867688A |
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