Healthcare Provider Details

I. General information

NPI: 1063745701
Provider Name (Legal Business Name): KERN MEDICAL CENTRE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2009
Last Update Date: 09/14/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1830 FLOWER ST
BAKERSFIELD CA
93305-4144
US

IV. Provider business mailing address

1830 FLOWER ST
BAKERSFIELD CA
93305-4144
US

V. Phone/Fax

Practice location:
  • Phone: 661-326-2202
  • Fax: 661-862-7612
Mailing address:
  • Phone: 661-326-2202
  • Fax: 661-862-7612

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282E00000X
TaxonomyLong Term Care Hospital
License Number
License Number StateCA

VIII. Authorized Official

Name: MISS SHARON GREER
Title or Position: PROGRAM COORINATOR
Credential:
Phone: 661-326-2202