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General NPI Number Information
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NPI Number | 1023698263
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Entity Type | Individual
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Provider Name | MAKENZIE LYNN KERNS
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Gender | Female
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Dates
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Enumeration Date | 04/12/2021
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 1314 E SONTERRA BLVD STE 302
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City | SAN ANTONIO
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State | TX
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Zip | 78258-4285
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Country | US
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Telephone | 210-899-1026
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Fax |
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Provider Business Mailing Address
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Address Line | 8122 DATAPOINT DR STE 720
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3479
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Country | US
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Telephone | 210-899-1026
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Fax | 210-495-0242
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 692223
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License Number State | TX
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