Individual
DR. STEVEN MARK KERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1790 SUN PEAK DR STE A103, PARK CITY, UT 84098
(435) 658-1013
(435) 658-3513
Mailing address
2285 CORPORATE CIR, STE 200, HENDERSON, NV 89074-7759
(702) 360-2763
(949) 783-2880
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
18908
NV
207N00000X
Dermatology Physician
22469
AZ
207N00000X
Dermatology Physician
330766827
UT
207N00000X
Dermatology Physician
3673151205
UT
207N00000X
Dermatology Physician
Primary
G58292
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D0692505
CLIA CERTIFICATE
UT
Enumeration date
10/12/2005
Last updated
03/07/2023
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