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Individual

CHRISTOPHER LAURENCE KERNS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4050 W MEMORIAL RD, OKLAHOMA CITY, OK 73120-8382
(405) 608-3800
(405) 628-6271
Mailing address
7800 NW 85TH TER, OKLAHOMA CITY, OK 73132-3385

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
12721
OK
207RI0011X
Interventional Cardiology Physician
Primary
12721
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
060051778
RAILROAD MEDICARE
OH
05
100118410A
OK
Enumeration date
10/04/2005
Last updated
06/06/2022
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