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NPI Code Detail

MEDICARE: BRIAN S KERN M.D.

MEDICARE: BRIAN S KERN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician42872KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2000000639572OTHERKYANTHEM

General Provider Information

NPI Number : 1124231824
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN S KERN M.D.
Provider Business Mailing Address
First Line : 200 CLINT HILL BLVD
Second Line :
City : PADUCAH
State : KY
Zip : 42001-6768
Country : US
Telephone Number : 270-442-9461
Fax Number :
Provider Business Practice Location Address
First Line : 200 CLINT HILL BLVD
Second Line :
City : PADUCAH
State : KY
Zip : 42001-6768
Country : US
Telephone Number : 270-442-9461
Fax Number : 270-441-0079
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2007
Last Update Date : 12/12/2023

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