Provider Demographics
NPI:1619028859
Name:KERNS, RACHEL (PHARMD, MBA)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:
Last Name:KERNS
Suffix:
Gender:F
Credentials:PHARMD, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4907 510TH ST
Mailing Address - Street 2:
Mailing Address - City:MALLARD
Mailing Address - State:IA
Mailing Address - Zip Code:50562-7003
Mailing Address - Country:US
Mailing Address - Phone:712-857-3519
Mailing Address - Fax:515-332-1627
Practice Address - Street 1:1310 10TH AVE N
Practice Address - Street 2:
Practice Address - City:HUMBOLDT
Practice Address - State:IA
Practice Address - Zip Code:50548-1112
Practice Address - Country:US
Practice Address - Phone:515-332-1627
Practice Address - Fax:515-332-4324
Is Sole Proprietor?:No
Enumeration Date:2007-01-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA19847183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist