Kern, Tom

Kern, Tom is an individual health care provider with primary practice located at 11800 Singletree Ln #203, Eden Prairie MN 55344-5328. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Kern, Tom can be contacted via phone (952) 944-5502.

Contact Information

Primary practice address
11800 Singletree Ln #203 Eden Prairie MN 55344-5328
Phone: (952) 944-5502
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X LP0289 Minnesota
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP0289 Minnesota
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP0289 Minnesota

Profile Details

NPI number 1689648784
LBN Legal business name Kern, Tom
Credentials PH.D., L.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689648784 NPPES
Minnesota Other 61-70220 MEDICA AND UBH
Minnesota Other 123553 MEDICA AND UBH
Minnesota Other 279S6KE MEDICA AND UBH
Minnesota Other HP30512 MEDICA AND UBH

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