Individual
MITCHELL KERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ANP
Contact information
Practice address
100 COLLEGE PKWY STE 110, WILLIAMSVILLE, NY 14221-6885
(716) 631-8863
Mailing address
10 CARRIAGE DR APT 6, ORCHARD PARK, NY 14127-1834
(716) 860-0086
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F309551-01
NY
Other
Enumeration date
02/24/2020
Last updated
02/24/2020
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