Doctor Name: | MR. BRIAN J. KERN |
NPI Number: | 1033407168 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MA |
License Number: | |
Business Practice Address: | 6253 Sandy Ct New Tripoli, PA - 180663649 |
Business Phone Number: | 4845530218 |
Business Fax Number: | |
Mailing Address: | 6253 Sandy Ct, NEW TRIPOLI |
State: | PA |
Postal Code: | 180663649 |
Phone Number: | 4845530218 |
Fax Number: | |
NPI Enumeration Date: | 07/11/2011 |
NPI Last Update Date: | 07/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP1600X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Pastoral |
Taxonomy Definition: |