Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0201X | Pediatric Allergist | 091649 | OH |
Y | 2080P0201X | Pediatric Allergist | 35-091649 | OH |
NPI | 1851558944 |
---|---|
Provider Name | Leigh Ann Kerns |
First Address | Cleveland, OH 44195-0001 |
Second Address | Cleveland, OH 44195-1716 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2008 |
Last Update Date | 25/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1022409670001 | (05) | PA |
2901604 | (05) | OH |