Kern, Jeffrey Marc

Kern, Jeffrey Marc is an sole proprietor health care provider with primary practice located at 2055 Pinion Springs Dr , Henderson NV 89074-4116. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Kern, Jeffrey Marc can be contacted via phone (702) 435-1565.

Contact Information

Primary practice address
2055 Pinion Springs Dr Henderson NV 89074-4116
Fax: (702) 895-0195
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 210 Nevada

Profile Details

NPI number 1972604999
LBN Legal business name Kern, Jeffrey Marc
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2006
Last updated Jul 9th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972604999 NPPES
Nevada MEDICAID 002602026

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