Individual
DR. THOMAS J KERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5005 S DARLINGTON AVE # 100, TULSA, OK 74135-7307
(918) 619-4400
(918) 619-4639
Mailing address
PO BOX 268838, OKLAHOMA CITY, OK 73126-8838
(918) 619-4400
(918) 619-4639
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
24522
OK
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
24522
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200194670B
—
OK
Enumeration date
02/05/2007
Last updated
08/16/2016
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