Individual
DR. DAVID BRENT KERNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1040 S FLEISHEL AVE, TYLER, TX 75701-2031
(903) 533-8702
(903) 533-8720
Mailing address
1040 S FLEISHEL AVE, TYLER, TX 75701-2031
(903) 533-8702
(903) 533-8720
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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