Individual
WALTER N KERNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
789 HOWARD AVE, NEW HAVEN, CT 06519-1304
(203) 688-2471
(203) 688-4516
Mailing address
300 GEORGE ST, 6TH FLOOR, NEW HAVEN, CT 06536-0805
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28405
CT
208D00000X
General Practice Physician
028405
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001284059
—
CT
Enumeration date
11/22/2005
Last updated
01/23/2022
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