Provider Demographics
NPI:1154010304
Name:KERN, TAMI
Entity type:Individual
Prefix:
First Name:TAMI
Middle Name:
Last Name:KERN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2045 E COUNTY ROAD 36
Mailing Address - Street 2:
Mailing Address - City:TIFFIN
Mailing Address - State:OH
Mailing Address - Zip Code:44883-9659
Mailing Address - Country:US
Mailing Address - Phone:419-455-0770
Mailing Address - Fax:
Practice Address - Street 1:2045 E COUNTY ROAD 36
Practice Address - Street 2:
Practice Address - City:TIFFIN
Practice Address - State:OH
Practice Address - Zip Code:44883-9659
Practice Address - Country:US
Practice Address - Phone:419-455-0770
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-03
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker