Individual
DR. JACK DAVID KERNS IX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
204 SEMMEL RD, HONEOYE FALLS, NY 14472-9756
(585) 734-0906
Mailing address
204 SEMMEL ROAD, HONEOYE FALLS, NY 14472
(585) 734-0906
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
154452
NY
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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