person
Dustin Kern
Student in an Organized Health Care Education/Training Program in Peoria, Illinois
NPI 1750517488

Dustin Kern is a Student in an Organized Health Care Education/Training Program based in Peoria, IL. Dustin Kern practices in Peoria, IL. The NPI Number for Dustin Kern is 1750517488 and holds a License No. 041-339058 (Illinois).

The current practice location address for Dustin Kern is 8600 N State Route 91, Peoria, IL and can be reached out via phone at 309-692-5394 and via fax at 309-692-2272. You can also correspond with Dustin Kern through the mailing address at 8600 N STATE ROUTE 91, PEORIA, IL - 61615-9541 (mailing address contact number: 309-692-5394).

Location: 8600 N State Route 91, Peoria, IL, 61615-9541
person
Provider Profile Details
NPI Number
1750517488
Provider Name
Dustin Kern
Credential
Provider Entity Type
Individual
Gender
Male
Address
8600 N State Route 91, Peoria, IL, 61615-9541
Phone Number
309-692-5394
Fax Number
309-692-2272
Provider Enumeration Date
06/09/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PENDING 01 IL MEDICARE
institution
Provider Business Practice Location Address Details
Address
8600 N State Route 91
City
State
Zip
61615-9541
Phone Number
309-692-5394
Fax Number
309-692-2272
person
Provider Business Mailing Address Details
Address
8600 N State Route 91
City
State
Zip
61615-9541
Phone Number
309-692-5394
Fax Number
309-692-2272
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
041-339058 (Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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