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NPI Code Detail

MEDICARE: KEVIN M KERNEK M.D.

MEDICARE: KEVIN M KERNEK 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
1207ZP0105XClinical Pathology/Laboratory Medicine Physician01059271AIN

General Provider Information

NPI Number : 1922051275
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN M KERNEK M.D.
Provider Business Mailing Address
First Line : PO BOX 3024
Second Line :
City : EVANSVILLE
State : IN
Zip : 47730-3024
Country : US
Telephone Number : 812-471-1591
Fax Number : 812-471-6650
Provider Business Practice Location Address
First Line : 600 MARY ST
Second Line :
City : EVANSVILLE
State : IN
Zip : 47710-1658
Country : US
Telephone Number : 812-450-3344
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2006
Last Update Date : 11/26/2007

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