Individual
FRED T KERNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3100 MACCORKLE AVE SE STE 604, CHARLESTON, WV 25304-1231
(304) 345-5421
(304) 345-0951
Mailing address
3100 MACCORKLE AVE SE STE 604, CHARLESTON, WV 25304-1231
(304) 345-5421
(304) 345-0951
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
11578
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0082907000
—
WV
Enumeration date
10/11/2006
Last updated
01/18/2008
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