Most Relevant Information
Provider Data
| NPI Number: | 1003517269 |
| Provider Name: | KALI ROSE KERNS |
| Entity Type: | Individual |
| Taxonomy Code: | 175T00000X |
| Specialty: | Peer Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/14/2023 |
| Last Updated: | 03/14/2023 |
Provider Practice Location
109 N FAIRLAND ST
PRYOR
OK
743614205
Practice Location Phone/Fax
| Phone: | 9188251405 |
| Fax: | 9188251406 |
Provider Mailing Location
109 N FAIRLAND ST
PRYOR
OK
743614205
Provider Mailing Phone/Fax
| Phone: | 9188251405 |
| Fax: | 9188251406 |