Jack Brian Kern is a Mental Health in Mentor, Ohio. Jack Brian Kern practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Jack Brian Kern is 1033370424. The last update date is 2008-06-19.
Jack Brian Kern's current location address is 8445 Munson Rd, Mentor, Ohio. You can contact this provider via phone number 4402551700 and fax number 4402052417. The mailing address for Jack Brian Kern is 8445 Munson Rd, Mentor, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Brian Kern |
|---|---|
| Address | 8445 Munson Rd, Mentor, Ohio |
| Phone Number | 4402551700 |
| Fax Number | 4402052417 |
| Sole Proprietor | Y |
| Credentials | MED, PC |
NPI Number Detail
| NPI Number | 1033370424 |
|---|---|
| Provider Enumeration Date | 2008-06-19 |
| Last Updated Date | 2008-06-19 |
Provider Mailing Address Detail
| Address | 8445 Munson Rd |
|---|---|
| City | Mentor |
| State | Ohio (OH) |
| Post Code | 440602410 |
| Phone Number | 4402551700 |
| Fax Number | 4402052417 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | C 0602132 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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What is the unique identifier code issued to Jack Brian Kern by the Centers for Medicare & Medicaid Services?
The Jack Brian Kern has been assigned the NPI (National Provider Identifier) 1033370424. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jack Brian Kern?
The Jack Brian Kern is physically situated at 8445 Munson Rd, in the city of Mentor, state of OH, with the postal code 440602410.
What is the Jack Brian Kern's area of specialization and corresponding taxonomy classification?
The Jack Brian Kern's specialty field is Mental Health, and it falls under the taxonomy code 101Ym0800X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1033370424 to Jack Brian Kern?
The Jack Brian Kern received its 1033370424 assignment from the Centers for Medicare & Medicaid Services on 2008-06-19.
As of what date was the information regarding Jack Brian Kern, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jack Brian Kern, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-06-19.
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