Healthcare Provider Details

I. General information

NPI: 1972712677
Provider Name (Legal Business Name): KERN SURGICAL SUPPLY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 E BRUNDAGE LN SUITE A
BAKERSFIELD CA
93307-2760
US

IV. Provider business mailing address

PO BOX 70280
BAKERSFIELD CA
93387-0280
US

V. Phone/Fax

Practice location:
  • Phone: 661-716-2700
  • Fax:
Mailing address:
  • Phone: 661-716-2700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberWLS4775
License Number StateCA

VIII. Authorized Official

Name: MR. MICHAEL SIMPSON
Title or Position: PRESIDENT
Credential:
Phone: 661-716-2700