Individual
KEVIN L BERNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11141 PARKVIEW PLAZA DR STE 300, FORT WAYNE, IN 46845-1715
(260) 490-7111
(260) 490-2286
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
(260) 266-6013
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
01055645A
IN
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
01055645A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104394511
—
MI
05
—
200377060
—
IN
Enumeration date
08/09/2005
Last updated
10/15/2022
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