Individual
JOHN PETER KERN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
11275 DELAWARE PKWY, CROWN POINT, IN 46307-7812
(219) 779-8735
Mailing address
9063 CLEVELAND CT APT 102, MERRILLVILLE, IN 46410-0023
(847) 609-7829
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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