Doctor Name: | JEFFREY K. KERNER |
NPI Number: | 1275643967 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | C2-0002172 |
Business Practice Address: | 200 Bassett Ave New Castle, DE - 197201802 |
Business Phone Number: | 3023280669 |
Business Fax Number: | 3023288937 |
Mailing Address: | 200 Bassett Ave, NEW CASTLE |
State: | DE |
Postal Code: | 197201802 |
Phone Number: | 3023280669 |
Fax Number: | 3023288937 |
NPI Enumeration Date: | 08/30/2006 |
NPI Last Update Date: | 11/13/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | C2-0002172 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | DE |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |