Individual
BRIAN S KERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 CLINT HILL BLVD, PADUCAH, KY 42001-6768
(270) 442-9461
(270) 441-0079
Mailing address
200 CLINT HILL BLVD, PADUCAH, KY 42001-6768
(270) 442-9461
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
42872
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000639572
ANTHEM
KY
05
—
7100091680
—
KY
Enumeration date
05/08/2007
Last updated
12/12/2023
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