Kerns, David Brent

Kerns, David Brent is an individual health care provider with primary practice located at 1040 S Fleishel Ave , Tyler TX 75701-2031. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Kerns, David Brent can be contacted via phone (903) 533-8702.

Contact Information

Primary practice address
1040 S Fleishel Ave Tyler TX 75701-2031
Phone: (903) 533-8702
Fax: (903) 533-8720
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X K0862 Texas
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X K0862 Texas

Profile Details

NPI number 1073515565
LBN Legal business name Kerns, David Brent
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Jun 28th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073515565 NPPES
Texas Other 770001111 RAILROAD MEDICARE
Texas Other MDK0862 RAILROAD MEDICARE
Texas MEDICAID 045355701 RAILROAD MEDICARE
Texas Other 3292271 RAILROAD MEDICARE
Texas Other 5849465 RAILROAD MEDICARE
Texas Other 86Z401 RAILROAD MEDICARE

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