Individual
DR. RICHARD C KERNISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3657 S MIAMI AVE, MIAMI, FL 33133-4205
(305) 854-8317
Mailing address
PO BOX 11398, FORT LAUDERDALE, FL 33339-1398
(877) 448-8675
(770) 666-9331
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
33855
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
69555600
—
FL
01
—
95533
BCBS FLORIDA
FL
Enumeration date
03/01/2006
Last updated
06/27/2012
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