Provider Demographics
NPI:1801620018
Name:KEARNS, PATRICK SEAN (RN)
Entity type:Individual
Prefix:
First Name:PATRICK
Middle Name:SEAN
Last Name:KEARNS
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5806 BALFOR RD
Mailing Address - Street 2:
Mailing Address - City:ROCKLIN
Mailing Address - State:CA
Mailing Address - Zip Code:95765-4908
Mailing Address - Country:US
Mailing Address - Phone:832-488-6240
Mailing Address - Fax:
Practice Address - Street 1:5806 BALFOR RD
Practice Address - Street 2:
Practice Address - City:ROCKLIN
Practice Address - State:CA
Practice Address - Zip Code:95765-4908
Practice Address - Country:US
Practice Address - Phone:832-488-6240
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-29
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA469071163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator