Provider Demographics
NPI:1851080402
Name:KEARNS, DEBRA BECKETT
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:BECKETT
Last Name:KEARNS
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 1:1578 ELLIS RUN RD
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:OH
Mailing Address - Zip Code:45101-7508
Mailing Address - Country:US
Mailing Address - Phone:937-515-6486
Mailing Address - Fax:
Practice Address - Street 1:1578 ELLIS RUN RD
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:OH
Practice Address - Zip Code:45101-7508
Practice Address - Country:US
Practice Address - Phone:937-515-6486
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-01
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2055XRespite Care FacilityRespite CareRespite Care, Mental Illness, Child