Doctor Name: | DR. JAMES D KERNER |
NPI Number: | 1962429563 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D., PHD |
License Number: | MD2005-0865 |
Business Practice Address: | 4351 E Lohman Ave Ste 208 Las Cruces, NM - 880118260 |
Business Phone Number: | 5755217117 |
Business Fax Number: | 5755217226 |
Mailing Address: | 4351 E Lohman Ave Ste 208, LAS CRUCES |
State: | NM |
Postal Code: | 880118260 |
Phone Number: | 5755211177 |
Fax Number: | 5754494963 |
NPI Enumeration Date: | 07/17/2006 |
NPI Last Update Date: | 03/22/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MD2005-0865 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |