MEDICARE: DR. BRIAN MITCHELL KERNER D.C.

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
1	111N00000X	Chiropractor	22034	CA

General Provider Information

NPI Number	:	1265425862
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRIAN MITCHELL KERNER D.C.

Provider Business Mailing Address
First Line	:	3106 FILLMORE ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94123-3417
Country	:	US
Telephone Number	:	415-563-2452
Fax Number	:

Provider Business Practice Location Address
First Line	:	3106 FILLMORE ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94123-3417
Country	:	US
Telephone Number	:	415-563-2452
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2005
Last Update Date	:	08/03/2010

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