Individual
KEVIN BRADLEY KERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD-11418
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000228098
HMSA
—
01
—
495996-01
ACS
—
01
—
A013
CHAMPUS TRICARE
—
Enumeration date
07/07/2006
Last updated
10/21/2014
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