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Individual

BRYAN ADAM KERNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

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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