# KEVIN PATRICK KERN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1144258781
- **Gender:** Man
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 202K00000X | Phlebology Physician | 036101395 | IL | Yes |
| 207P00000X | Emergency Medicine Physician | 036101395 | IL | — |

## Other

- **Enumeration date:** 06/30/2006
- **Last updated:** 01/24/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 789511 | GROUP MEDICARE PTAN | IL |
| 01 | — | 79510 | GROUP MEDICARE PTAN | IL |