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:
Health care specialties
| Specialty | Code | License # | 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 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710960935 | NPPES |
| Connecticut | MEDICAID | 001284059 |
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