Individual
DR. JEFFREY H KERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
911-913 STATE STREET, NEW HAVEN, CT 06511-3926
(203) 503-3000
(203) 782-6243
Mailing address
400 COLUMBUS AVE, NEW HAVEN, CT 06519-1233
(203) 503-3250
(203) 503-3520
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
127880
NY
207Y00000X
Otolaryngology Physician
28059
SC
207YX0602X
Otolaryngic Allergy Physician
Primary
047116
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004235900
—
CT
Enumeration date
07/11/2005
Last updated
05/12/2015
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