Individual
KENNETH M KERNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
130 TOWN CENTER DR, SUITE 101, TROY, MI 48084-1744
(248) 740-0670
(248) 740-0668
Mailing address
20952 E 12 MILE RD, SUITE 200, ST CLAIR SHORES, MI 48081-3200
(586) 771-4820
(586) 771-6620
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
4301062269
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0994918
HEALTH PLUS
MI
01
—
129721
PRIORITY HEALTH
MI
01
—
2161865002
CIGNA
MI
01
—
340017619
RAILROAD MEDICARE
MI
01
—
7275202
AETNA
MI
01
—
H13405
HAP
MI
Enumeration date
04/20/2006
Last updated
07/28/2008
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