| NPI | 1376634600 |
|---|---|
| Other Name | KYLE DOUGLAS KERN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OR D6786) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NC 6296) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2013-09-09 |