| Doctor Name: | SHIRLEY JEAN KERN |
| NPI Number: | 1043580178 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNS |
| License Number: | R139922-8 |
| Business Practice Address: | 3435 W Broadway Ave Robbinsdale, MN - 554222969 |
| Business Phone Number: | 7635207887 |
| Business Fax Number: | 7635201494 |
| Mailing Address: | 3435 W Broadway Ave, ROBBINSDALE |
| State: | MN |
| Postal Code: | 554222969 |
| Phone Number: | 7635207887 |
| Fax Number: | 7635201494 |
| NPI Enumeration Date: | 01/05/2012 |
| NPI Last Update Date: | 01/05/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SX0200X |
| License Number: | R139922-8 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Oncology |
| Taxonomy Definition: | |