| Doctor Name: | DR. TRAVIS W. KERN |
| NPI Number: | 1104008861 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DDS MD |
| License Number: | N6417 |
| Business Practice Address: | 7800 Mopac Expwy Suite 270 Austin, TX - 78759 |
| Business Phone Number: | 5123467949 |
| Business Fax Number: | 5123469427 |
| Mailing Address: | P.o. Box 49500, AUSTIN |
| State: | TX |
| Postal Code: | 787659500 |
| Phone Number: | 5124541220 |
| Fax Number: | 5124670363 |
| NPI Enumeration Date: | 12/04/2007 |
| NPI Last Update Date: | 12/07/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | N6417 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |