Doctor Name: | DR. JAMES MICHAEL KEARNS |
NPI Number: | 1568531663 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.N. |
License Number: | |
Business Practice Address: | 800 E South St Woodstock, IL - 600984247 |
Business Phone Number: | 8153377109 |
Business Fax Number: | 8153374619 |
Mailing Address: | 800 E South St, WOODSTOCK |
State: | IL |
Postal Code: | 600984247 |
Phone Number: | 8153377109 |
Fax Number: | 8153374619 |
NPI Enumeration Date: | 11/06/2006 |
NPI Last Update Date: | 01/07/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |