| Doctor Name: | WALTER N KERNAN |
| NPI Number: | 1710960935 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 028405 |
| Business Practice Address: | 789 Howard Ave New Haven, CT - 065191304 |
| Business Phone Number: | 2036882471 |
| Business Fax Number: | 2036884516 |
| Mailing Address: | 300 George St, 6th Floor NEW HAVEN |
| State: | CT |
| Postal Code: | 065360805 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 11/22/2005 |
| NPI Last Update Date: | 08/04/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 028405 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |