Provider Demographics
NPI:1538444039
Name:KEARNS, JOHN KENWORTHY (PA-C)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:KENWORTHY
Last Name:KEARNS
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:500 UNIVERSITY DR
Mailing Address - Street 2:DIVISION OF RHEUMATOLOGY, HO38
Mailing Address - City:HERSHEY
Mailing Address - State:PA
Mailing Address - Zip Code:17033-2360
Mailing Address - Country:US
Mailing Address - Phone:717-531-4921
Mailing Address - Fax:717-531-8274
Practice Address - Street 1:500 UNIVERSITY DR
Practice Address - Street 2:DIVISION OF RHEUMATOLOGY, HO38
Practice Address - City:HERSHEY
Practice Address - State:PA
Practice Address - Zip Code:17033-2360
Practice Address - Country:US
Practice Address - Phone:717-531-4921
Practice Address - Fax:717-531-8274
Is Sole Proprietor?:No
Enumeration Date:2011-10-15
Last Update Date:2016-07-06
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Provider Licenses
StateLicense IDTaxonomies
PAMA055202363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant