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Individual

MARK B. KERNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5818 HARBOUR VIEW BLVD STE C2, SUFFOLK, VA 23435-2789
(757) 933-8890
(757) 873-3239
Mailing address
730 THIMBLE SHOALS BLVD STE 130, NEWPORT NEWS, VA 23606-4562
(757) 873-1554

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0101052596
VA
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
0101052596
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006405240
VA
01
200028242
MEDICARE RR
VA
01
P00798471
RR MEDICARE
VA
Enumeration date
07/25/2006
Last updated
04/14/2025
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