David Brent Kerns is a Surgery in Tyler, Texas. David Brent Kerns practices all healthcare services and medical treatments related to Surgery. The NPI Number for David Brent Kerns is 1073515565. The last update date is 2022-06-28.
David Brent Kerns's current location address is 1040 S Fleishel Ave, Tyler, Texas. You can contact this provider via phone number 9035338702 and fax number 9035338720. The mailing address for David Brent Kerns is 1040 S Fleishel Ave, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Brent Kerns |
|---|---|
| Address | 1040 S Fleishel Ave, Tyler, Texas |
| Phone Number | 9035338702 |
| Fax Number | 9035338720 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1073515565 |
|---|---|
| Provider Enumeration Date | 2005-08-15 |
| Last Updated Date | 2022-06-28 |
Provider Mailing Address Detail
| Address | 1040 S Fleishel Ave |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 757012031 |
| Phone Number | 9035338702 |
| Fax Number | 9035338720 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | K0862 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 770001111 | TX | RAILROAD MEDICARE | |
| MDK0862 | TX | TEXAS WORKERS COMP / IHC | |
| 45355701 | TX | -- | |
| 3292271 | TX | BLUELINK | |
| 5849465 | TX | AETNA | |
| 86Z401 | TX | BCBS TX |
Post Comment/ Review Below
What is the David Brent Kerns's unique identification number?
The David Brent Kerns has been assigned the NPI (National Provider Identifier) Number 1073515565 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of David Brent Kerns?
The David Brent Kerns is situated at 1040 S Fleishel Ave, in the city of Tyler, state of TX, with the zip code 757012031.
What is David Brent Kerns's area of expertise and its corresponding taxonomy classification?
The David Brent Kerns's field of specialization is Surgery, and it falls under the taxonomy code 208600000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1073515565 to David Brent Kerns?
The David Brent Kerns received its 1073515565 assignment from the Centers for Medicare & Medicaid Services on 2005-08-15.
When was the information regarding David Brent Kerns, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to David Brent Kerns, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-06-28.
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