Individual
MR. SAMUEL C KERNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7580 AUBURN ROAD, #103, PAINESVILLE, OH 44077
(440) 352-1474
(440) 352-2662
Mailing address
7580 AUBURN ROAD, #103, PAINESVILLE, OH 44077
(440) 352-1474
(440) 352-2662
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
35-091099
OH
207Y00000X
Otolaryngology Physician
Primary
35-091099
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2844284
—
OH
Enumeration date
02/22/2008
Last updated
02/16/2010
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