Individual
THERESA KERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,RN, AGCNS-BC
Contact information
Practice address
324 WILMINGTON AVE, DAYTON, OH 45420-1890
(937) 256-4490
(937) 258-5478
Mailing address
21 HILLTOP AVE, OAKWOOD, OH 45419-1517
(937) 293-5662
(937) 258-5478
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
17591
OH
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
17591
OH
Other
Enumeration date
12/03/2014
Last updated
02/21/2020
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