MEDICARE: DR. STEVEN P KERNER 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	208800000X	Urology Physician	917	SC
2	208800000X	Urology Physician	2022-01569	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750368122
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN P KERNER D.O.

Provider Business Mailing Address
First Line	:	PO BOX 68
Second Line	:
City	:	POLLOCKSVILLE
State	:	NC
Zip	:	28573-0068
Country	:	US
Telephone Number	:	252-635-3906
Fax Number	:	252-224-0378

Provider Business Practice Location Address
First Line	:	4218 ARENDELL ST
Second Line	:
City	:	MOREHEAD CITY
State	:	NC
Zip	:	28557-2866
Country	:	US
Telephone Number	:	252-247-3257
Fax Number	:	252-247-1076

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

Provider Enumeration Date	:	12/28/2005
Last Update Date	:	07/19/2023

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