Individual
BRYAN ADAM KERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
330 CEDAR STREET, TMP-3, #303, NEW HAVEN, CT 06510-3218
(203) 737-5828
Mailing address
330 CEDAR STREET, TMP-3, #303, NEW HAVEN, CT 06510-3218
(203) 737-5828
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
66571
CT
207L00000X
Anesthesiology Physician
OP60959342
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033652938
—
WA
Enumeration date
11/23/2016
Last updated
09/14/2020
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