Kerndt, Charles

Kerndt, Charles is an individual health care provider with primary practice located at 4100 Park Forest Dr Suite 210, Traverse City MI 49684-7331. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Kerndt, Charles can be contacted via phone (231) 935-5770.

Contact Information

Primary practice address
4100 Park Forest Dr Suite 210 Traverse City MI 49684-7331
Phone: (231) 935-5770
Fax: (231) 935-0747
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 4301071557 Michigan

Profile Details

NPI number 1235118456
LBN Legal business name Kerndt, Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2006
Last updated Apr 10th, 2015 - about 10 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 1235118456 NPPES
Michigan MEDICAID 1235118456

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