Individual
DR. DAVID BRENT KERNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
K0862
TX
2086S0129X
Vascular Surgery Physician
Primary
K0862
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045355701
—
TX
01
—
3292271
BLUELINK
TX
01
—
5849465
AETNA
TX
01
—
770001111
RAILROAD MEDICARE
TX
01
—
86Z401
BCBS TX
TX
01
—
MDK0862
TEXAS WORKERS COMP / IHC
TX
Enumeration date
08/15/2005
Last updated
06/28/2022
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