Kern, Steven Mark

Kern, Steven Mark is an sole proprietor health care provider with primary practice located at 1790 Sun Peak Dr Ste A103 , Park City UT 84098. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Kern, Steven Mark can be contacted via phone (435) 658-1013.

Contact Information

Primary practice address
1790 Sun Peak Dr Ste A103 Park City UT 84098
Phone: (435) 658-1013
Fax: (435) 658-3513
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 330766827 Utah
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 18908 Nevada
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 3673151205 Utah
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 22469 Arizona
Allopathic & Osteopathic Physicians / Dermatology 207N00000X G58292 California

Profile Details

NPI number 1104814102
LBN Legal business name Kern, Steven Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2005
Last updated Mar 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104814102 NPPES
Utah Other 05D0692505 CLIA CERTIFICATE

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