Kernan, Walter N

Kernan, Walter N is an individual health care provider with primary practice located at 789 Howard Ave , New Haven CT 06519-1304. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Kernan, Walter N can be contacted via phone (203) 688-2471.

Contact Information

Primary practice address
789 Howard Ave New Haven CT 06519-1304
Phone: (203) 688-2471
Fax: (203) 688-4516
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 028405 Connecticut
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 28405 Connecticut

Profile Details

NPI number 1710960935
LBN Legal business name Kernan, Walter N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Jan 23rd, 2022 - about 3 years ago

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 1710960935 NPPES
Connecticut MEDICAID 001284059

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