Provider Demographics
NPI:1912044843
Name:KEIRNS, CARLA CHRISTINE (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:CARLA
Middle Name:CHRISTINE
Last Name:KEIRNS
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Gender:F
Credentials:MD, PHD
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Mailing Address - Street 1:3901 RAINBOW BOULEVARD, MAIL STOP 1025
Mailing Address - Street 2:KUMC HISTORY & PHILOSOPHY OF MEDICINE
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66160
Mailing Address - Country:US
Mailing Address - Phone:913-588-7040
Mailing Address - Fax:913-588-7060
Practice Address - Street 1:3901 RAINBOW BOULEVARD, MAIL STOP 1025
Practice Address - Street 2:KUMC HISTORY & PHILOSOPHY OF MEDICINE
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160
Practice Address - Country:US
Practice Address - Phone:913-588-7040
Practice Address - Fax:913-588-7060
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2015-07-17
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Provider Licenses
StateLicense IDTaxonomies
MI4301086937207R00000X
NY253334207R00000X, 207RH0002X, 208M00000X
NH14508207R00000X
NC2009-01300207R00000X
MA241519207R00000X
PAMD427336207R00000X
KS04-38178207RH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist