Provider Demographics
NPI:1346134715
Name:KEARNS, ANTHONY ALLAN (RN)
Entity type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:ALLAN
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 1:1913 5TH ST
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95811-6904
Mailing Address - Country:US
Mailing Address - Phone:571-345-6391
Mailing Address - Fax:
Practice Address - Street 1:1913 5TH ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95811-6904
Practice Address - Country:US
Practice Address - Phone:571-345-6391
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95420945163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse