NPI 1770198509

Daniel Michael Kearns

Practitioner Athletic Trainer Superior, WI

Practice location

Address: 1519 Grand Ave, Superior, WI 54880-2859
Phone: (715) 817-3193

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

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Registry record

NPI: 1770198509
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Sep 2020
Record last updated: 9 Sep 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.