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Individual
DR. ELYSE BETH KERNIS
Active
Individual
DR. ELYSE BETH KERNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2004005141
MO
207Q00000X
Family Medicine Physician
250241
NY
207Q00000X
Family Medicine Physician
Primary
25MB08794500
NJ
207Q00000X
Family Medicine Physician
5101014848
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209350701
—
MO
01
—
34174016
BCBS
—
Enumeration date
08/22/2006
Last updated
06/26/2013
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