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Donald Bokenfohr Kearns

Otolaryngology

Allopathic & Osteopathic Physicians

3030 Childrens Way, Suite 402, San Diego, CA 92123-4232

PECOS Enrollment

Based on the most recent information from CMS, provider Donald Bokenfohr Kearns does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1750452512
Provider Type
Individual
Full Name
Kearns, Donald Bokenfohr
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
11/13/2006
Last Updated
10/10/2011

Contact Information

Practice Location

3030 Childrens Way, Suite 402, San Diego, CA 92123-4232

(858) 309-7701

Unlisted Fax

Mailing Location

3860 Calle Fortunada, Suite 210, San Diego, CA 92123-4800

(858) 309-6303

(858) 309-6301

Provider Taxonomies

Code	Description	License
Code 207YP0228X Primary	Description Otolaryngology Allopathic & Osteopathic Physicians	License C42381 California
Code 207Y00000X	Description Otolaryngology Allopathic & Osteopathic Physicians	License C42381 California

Provider Identifiers

ID	Description	Issuer
ID 00C423810	Description Medicaid	Issuer Unlisted California

Donald Bokenfohr Kearns

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Yang, Jeremy D

Qian, Zhen Jason

Bliss, Morgan Renee

Magit, Anthony Edmund

Shah, Gopi Bipin

Bothwell, Marcella R.

Carvalho, Daniela Stangenhaus De

Pransky, Seth Marc

Leuin, Shelby C.

Frank, Ethan D.