Provider Demographics
NPI:1851073753
Name:KERNS, RYAN (DNP, CRNA)
Entity type:Individual
Prefix:DR
First Name:RYAN
Middle Name:
Last Name:KERNS
Suffix:
Gender:M
Credentials:DNP, CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 RALSTON AVE
Mailing Address - Street 2:
Mailing Address - City:DEFIANCE
Mailing Address - State:OH
Mailing Address - Zip Code:43512-9908
Mailing Address - Country:US
Mailing Address - Phone:419-783-6944
Mailing Address - Fax:
Practice Address - Street 1:1200 RALSTON AVE
Practice Address - Street 2:
Practice Address - City:DEFIANCE
Practice Address - State:OH
Practice Address - Zip Code:43512-9908
Practice Address - Country:US
Practice Address - Phone:419-783-6944
Practice Address - Fax:419-479-6905
Is Sole Proprietor?:No
Enumeration Date:2023-08-01
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.456464163W00000X
OHAPRN.CRNA.0021361367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse