Individual
DR. JOSHUA WILLIAM KERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
132 5TH AVE W, SUITE 1, JEROME, ID 83338-1825
(208) 814-9800
(208) 814-9835
Mailing address
PO BOX 587, TWIN FALLS, ID 83303-0587
(208) 814-7400
(208) 814-7491
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M9857
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806424400
—
ID
05
—
807192700
—
ID
Enumeration date
06/15/2006
Last updated
01/07/2015
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