Kernebeck, Olivia Dawn
Kernebeck, Olivia Dawn is an sole proprietor health care provider with primary practice located at 3119 Valley Oaks Dr , Imperial MO 63052-4364. 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. Kernebeck, Olivia Dawn can be contacted via phone (636) 461-2761.Contact Information
Primary practice address
3119 Valley Oaks Dr
Imperial MO 63052-4364
Phone: (636) 461-2761
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 005428 | Missouri |
Profile Details
| NPI number | 1528102001 |
|---|---|
| LBN Legal business name | Kernebeck, Olivia Dawn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 16th, 2007 |
| 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.
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