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NPI Code Detail

MEDICARE: DR. KENNETH ALAN KERN MD

MEDICARE:  DR. KENNETH ALAN KERN  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11744R1102XResearch Study SpecialistG87349CA

General Provider Information

NPI Number : 1295993459
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KENNETH ALAN KERN MD
Provider Business Mailing Address
First Line : 10646 SCIENCE CENTER DR
Second Line :
City : SAN DIEGO
State : CA
Zip : 92121-1150
Country : US
Telephone Number : 610-405-2685
Fax Number :
Provider Business Practice Location Address
First Line : 10646 SCIENCE CENTER DR
Second Line :
City : SAN DIEGO
State : CA
Zip : 92121-1150
Country : US
Telephone Number : 610-405-2685
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2008
Last Update Date : 05/23/2008

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Directions to “ DR. KENNETH ALAN KERN MD” Practice Location

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