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Organization
KERN FACULTY MEDICAL GROUP
Active
Organization
KERN FACULTY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER JANE ABRAHAM MD (PRESIDENT)
(661) 872-7000
Entity
Organization
Contact information
Practice address
2201 MT VERNON AVE, STE 211, BAKERSFIELD, CA 93306
(661) 872-7000
(661) 872-0499
Mailing address
PO BOX 60159, BAKERSFIELD, CA 93386
(661) 872-7000
(661) 872-0499
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207T00000X
Neurological Surgery Physician
—
—
207W00000X
Ophthalmology Physician
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
—
—
208800000X
Urology Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
231H00000X
Audiologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CR0150
RAILROAD MEDICARE
CA
05
—
GR0058750
—
CA
Enumeration date
07/25/2006
Last updated
05/19/2008
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