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Contact Information

STEPHEN KERN, LSCSW
1764 WEST ASPEN LANE
LOA, UT84747
 Phone: 435-836-2272
 Fax: 435-836-2274
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for STEPHEN KERN · (Male)

NPI # 1336407568
Status Active
Credentials LSCSW
Entity Individual
Enumeration date 04/25/2012
Last updated 06/07/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • KS License # 4174
  • UT License # 6178738-3501
  • KS Medicaid 200966490A
Hospital affiliation(s) Not Available
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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