Individual
DR. TRAVIS W. KERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MD
Contact information
Practice address
7800 MOPAC EXPWY, SUITE 270, AUSTIN, TX 78759
(512) 346-7949
(512) 346-9427
Mailing address
P.O. BOX 49500, AUSTIN, TX 78765-9500
(512) 454-1220
(512) 467-0363
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
24489
TX
390200000X
Student in an Organized Health Care Education/Training Program
N6417
TX
Other
Enumeration date
12/04/2007
Last updated
12/07/2011
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