MEDICARE: DR. DANA L KERNER DO

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	207R00000X	Internal Medicine Physician	0S009988L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	422819	OTHER	PA	BLUE SHIELD

General Provider Information

NPI Number	:	1811003452
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANA L KERNER DO

Provider Business Mailing Address
First Line	:	715 CHERRY LN FL 2
Second Line	:
City	:	SOUTHAMPTON
State	:	PA
Zip	:	18966-3936
Country	:	US
Telephone Number	:	215-322-2213
Fax Number	:	215-322-2214

Provider Business Practice Location Address
First Line	:	715 CHERRY LN FL 2
Second Line	:
City	:	SOUTHAMPTON
State	:	PA
Zip	:	18966-3936
Country	:	US
Telephone Number	:	215-322-2213
Fax Number	:	215-322-2214

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

Provider Enumeration Date	:	08/23/2006
Last Update Date	:	03/03/2026

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Directions to “ DR. DANA L KERNER DO” Practice Location

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