Doctor Name: | SHEILA A KERN |
NPI Number: | 1003290396 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 018687-1 |
Business Practice Address: | 8268 164th St Room A531 Jamaica, NY - 114321121 |
Business Phone Number: | 7188834133 |
Business Fax Number: | |
Mailing Address: | 82-68 164th Street, Queens Hospital Center JAMAICA |
State: | NY |
Postal Code: | 11432 |
Phone Number: | 7188834133 |
Fax Number: | 7188836295 |
NPI Enumeration Date: | 07/16/2015 |
NPI Last Update Date: | 07/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 018687-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |