Healthcare Provider Details
I. General information
NPI: 1326258500
Provider Name (Legal Business Name): JULI MARIE KERN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/23/2007
Last Update Date: 03/23/2023
Certification Date: 03/23/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3535 OLENTANGY RIVER RD YELLOW BLDG., FLOOR 3, RM 3247
COLUMBUS OH
43214-3944
US
IV. Provider business mailing address
3535 OLENTANGY RIVER RD YELLOW BLDG, 3RD FL., ROOM 3247
COLUMBUS OH
43214-3944
US
V. Phone/Fax
- Phone: 614-566-5605
- Fax:
- Phone: 614-566-5605
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 35.088697 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2080N0001X |
| Taxonomy | Neonatal-Perinatal Medicine Physician |
| License Number | 35.088697 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: