Individual
STEPHEN SAMUEL KERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
390 9TH ST, FLORENCE, OR 97439-9470
(541) 997-7134
(541) 902-7533
Mailing address
380 9TH ST, FLORENCE, OR 97439-9470
(541) 997-7134
(541) 902-1320
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34007382
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2169513
—
OH
05
—
241289
—
OR
05
—
64103328
—
KY
Enumeration date
11/01/2006
Last updated
12/16/2009
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