MEDICARE: STEWART M. KERNES D.O.

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
1	207VG0400X	Gynecology Physician	TL1015	NV

General Provider Information

NPI Number	:	1427070812
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEWART M. KERNES D.O.

Provider Business Mailing Address
First Line	:	1670 E FLAMINGO RD STE C
Second Line	:	SUITE C
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-5120
Country	:	US
Telephone Number	:	702-892-0660
Fax Number	:	702-650-0549

Provider Business Practice Location Address
First Line	:	1670 E FLAMINGO RD STE C
Second Line	:	SUITE C
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-5120
Country	:	US
Telephone Number	:	702-892-0660
Fax Number	:	702-650-0549

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/24/2006
Last Update Date	:	05/20/2014

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