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Contact Information

JOHN P KEARNEY, MD
374 E VANDERBILT WAY
SUITE 2
SAN BERNARDINO, CA92408
 Phone: 908-883-6811
 Fax: 909-883-2494
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JOHN P KEARNEY · (Male)

NPI Number 1144254764
Status Active
Credentials MD
Entity Individual
Enumeration date 07/10/2006
Last updated 12/04/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # G26058
  • CA Medicaid 00G260580
Hospital affiliation(s)
  • ST BERNARDINE MEDICAL CENTER - (Acute Care)
    2101 N WATERMAN AVE
    SAN BERNARDINO, CA 92404
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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