Individual
MRS. HEATHER TENBROCK KERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
552A LANCASTER AVE, BERWYN, PA 19312-1635
(610) 644-7100
(610) 644-7111
Mailing address
552A LANCASTER AVE, BERWYN, PA 19312-1635
(610) 644-7100
(610) 644-7111
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
OA002074
PA
363AM0700X
Medical Physician Assistant
Primary
MA051627
PA
Other
Enumeration date
02/22/2006
Last updated
02/02/2012
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