Individual
MARK EDGAR KERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
36 N UNION RD, WILLIAMSVILLE, NY 14221-5383
(716) 636-1470
(888) 886-2563
Mailing address
3925 SHERIDAN DR, STE 100, AMHERST, NY 14226-1738
(716) 250-6492
(716) 250-6522
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
019740
NY
Other
Enumeration date
06/27/2016
Last updated
09/13/2019
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