| Doctor Name: | MRS. AUDRA GABRIELSON KERNS |
| NPI Number: | 1265803803 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | TA1813 |
| Business Practice Address: | 1855 Halcyon Blvd Montgomery, AL - 361178044 |
| Business Phone Number: | 3345306387 |
| Business Fax Number: | |
| Mailing Address: | 1855 Halcyon Blvd, MONTGOMERY |
| State: | AL |
| Postal Code: | 361178044 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 10/08/2015 |
| NPI Last Update Date: | 10/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | TA1813 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |