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Individual

DR. KARA YAEKO KERNS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1 HOAG DR BLDG 41, NEWPORT BEACH, CA 92663-4162
(949) 764-7647
(657) 241-7720
Mailing address
PO BOX 3589, NEWPORT BEACH, CA 92659-8589
(657) 241-3600
(657) 241-7708

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
279191-1
NY
207R00000X
Internal Medicine Physician
A125507
CA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
279191
NY
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
A125507
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1174803431
NPI
Enumeration date
08/18/2011
Last updated
05/18/2021
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