| Doctor Name: | JEFFERY JUSTIN KERN |
| NPI Number: | 1194713701 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | 103521 |
| Business Practice Address: | 104 Physicians Park Dr Rockingham, NC - 283795204 |
| Business Phone Number: | 9108951989 |
| Business Fax Number: | 9108959666 |
| Mailing Address: | Po Box 843013, BOSTON |
| State: | MA |
| Postal Code: | 022843013 |
| Phone Number: | 9108951989 |
| Fax Number: | 9108959666 |
| NPI Enumeration Date: | 10/07/2005 |
| NPI Last Update Date: | 10/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 103521 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |