Individual
JENA RUTH KERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
615 N MICHIGAN ST 1ST FL HOSPITALIST STE, SOUTH BEND, IN 46601-1033
(574) 647-3050
(574) 647-1094
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01076784A
IN
208M00000X
Hospitalist Physician
01076784A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000100939
ANTHEM
IN
05
—
201360270
—
IN
Enumeration date
05/05/2010
Last updated
04/28/2023
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