Healthcare Provider Details

I. General information

NPI: 1205744018
Provider Name (Legal Business Name): DANIEL KERN DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 MOULTON AND PARSONS DR
SAINT JAMES MN
56081-5550
US

IV. Provider business mailing address

1137 9TH ST N
SAINT JAMES MN
56081-1508
US

V. Phone/Fax

Practice location:
  • Phone: 507-375-8682
  • Fax:
Mailing address:
  • Phone: 507-621-0324
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number7922
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: