National Provider Identifier

Jack David Kerns IX, M.D.

Jack David Kerns IX, M.D. is listed in the NPPES registry with a primary specialty of Occupational Medicine Physician in Honeoye Falls, NY and a listed phone number of (585) 734-0906.

NPI 1285855932Honeoye Falls, NYOccupational Medicine Physician

Profile Overview

NPI
1285855932
Provider Type
Individual
Primary Specialty
Occupational Medicine Physician
Enumeration Date
May 01, 2007
Last Updated
July 08, 2007

Practice Location

  • 204 Semmel RD
  • Honeoye Falls, NY 14472-9756

Phone: (585) 734-0906

Mailing Address

  • 204 Semmel Road
  • Honeoye Falls, NY 14472

Specialties

  • Occupational Medicine Physician (2083X0100X)
Full Record
NPI
1285855932
Entity Type
Individual
Last Name
Kerns
First Name
Jack
Middle Name
David
Name Prefix
Dr.
Name Suffix
IX
Credential
M.D.
Mailing Street Address
204 Semmel Road
Mailing City
Honeoye Falls
Mailing State
NY
Mailing ZIP Code
14472
Mailing Country
US
Mailing Phone
(585) 734-0906
Practice Street Address
204 Semmel RD
Practice City
Honeoye Falls
Practice State
NY
Practice ZIP Code
14472-9756
Practice Country
US
Practice Phone
(585) 734-0906
Enumeration Date
May 01, 2007
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Medicine Physician (2083X0100X)