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Nikole Marie Kerns

Student in an Organized Health Care Education/Training Program

Student, Health Care

128 E Apple St Ste 3800, Dayton, OH 45409-2902

(937) 208-2007

PECOS Enrollment

This provider is enrolled in PECOS as NIKOLE KERNS.

Based on the most recent information from CMS, provider Nikole Marie Kerns is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1750021754
Provider Type
Individual
Full Name
Kerns, Nikole Marie
Gender
Female

Sole Proprietor
No
Enumeration Date
3/30/2022
Last Updated
3/30/2022

Contact Information

Practice Location

128 E Apple St Ste 3800, Dayton, OH 45409-2902

(937) 208-2007

(937) 208-2752

Mailing Location

128 E Apple St Ste 3800, Dayton, OH 45409-2902

(937) 208-2007

(937) 208-2752

Provider Taxonomies

Code	Description	License
Code 390200000X Primary	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Nikole Marie Kerns

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Myrtil, Daphney

Shi, Stephanie

Hastie, Huston Lewis

Long, Jacob Raymond

Brown, Ashley Lynn

Wolters, Brandon

Landers, Joseph Raymond

Lebamoff, Andrew Damian

Barry, Kenton Michael