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NPI Code Detail

MEDICARE: KERN LOW M.D.

MEDICARE: KERN LOW 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
1207Q00000XFamily Medicine Physician36106CO

Other Identifiers

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

General Provider Information

NPI Number : 1396740221
Entity Type Code : Individual
Provider Name (Legal Business Name) : KERN LOW M.D.
Provider Business Mailing Address
First Line : PO BOX 35380
Second Line :
City : LAS VEGAS
State : NV
Zip : 89133-5380
Country : US
Telephone Number : 719-463-5540
Fax Number :
Provider Business Practice Location Address
First Line : 2 S CASCADE AVE STE 140
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80903-1604
Country : US
Telephone Number : 719-463-5540
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 03/20/2025

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