Individual
JOHNNA K KERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 395-6665
(937) 395-6668
Mailing address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 395-6665
(937) 395-6668
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34.012138
OH
208M00000X
Hospitalist Physician
DO0000003175
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0318204
—
OH
Enumeration date
07/15/2014
Last updated
10/15/2018
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