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Individual

NICOLE P KERNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
9212 DUNCANSHIRE CT, RALEIGH, NC 27613-5483
(919) 206-4880
(919) 536-9624
Mailing address
9212 DUNCANSHIRE CT, RALEIGH, NC 27613-5483
(919) 206-4880
(919) 536-9624

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
2008-00835
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2022737
MEDICARE PTAN
NC
Enumeration date
12/11/2006
Last updated
08/26/2013
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