Individual
NATHANIEL KERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1716 HIGHWAY 51 STE N, MADISON, MS 39110-5020
(601) 499-5780
Mailing address
2823 GREYSTONE COMMERCIAL BLVD, HOOVER, AL 35242-2660
(205) 745-3660
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5501301917
MI
225100000X
Physical Therapist
Primary
PT7787
MS
225100000X
Physical Therapist
PTH10869
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT7787
LICENSE
MS
01
—
PTH10869
LICENSE
AL
Enumeration date
02/05/2022
Last updated
08/15/2024
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