Most Relevant Information
Provider Data
| NPI Number: | 1003306937 |
| Provider Name: | BENJAMIN TAPPEN KERN DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/16/2018 |
| Last Updated: | 05/16/2018 |
Provider Practice Location
1107 NE 45TH ST STE 100
SEATTLE
WA
981054631
Practice Location Phone/Fax
| Phone: | 2065457844 |
| Fax: | 2065457843 |
Provider Mailing Location
790 REMINGTON BLVD
BOLINGBROOK
IL
604404909
Provider Mailing Phone/Fax
| Phone: | 6302962222 |
| Fax: |