National Provider Identifier
Mark Edgar Kerner, PA
Mark Edgar Kerner, PA is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant in Williamsville, NY and a listed phone number of (716) 636-1470.
Profile Overview
- NPI
- 1306297874
- Provider Type
- Individual
- Primary Specialty
- Surgical Physician Assistant
- Enumeration Date
- June 27, 2016
- Last Updated
- September 13, 2019
Practice Location
- 36 N Union RD
- Williamsville, NY 14221-5383
Phone: (716) 636-1470
Mailing Address
- 3925 Sheridan Dr
- Ste 100
- Amherst, NY 14226-1738
Specialties
- Surgical Physician Assistant (363AS0400X)
Full Record
- NPI
- 1306297874
- Entity Type
- Individual
- Last Name
- Kerner
- First Name
- Mark
- Middle Name
- Edgar
- Credential
- PA
- Mailing Street Address
- 3925 Sheridan Dr
- Mailing Address Line 2
- Ste 100
- Mailing City
- Amherst
- Mailing State
- NY
- Mailing ZIP Code
- 14226-1738
- Mailing Country
- US
- Mailing Phone
- (716) 250-6492
- Mailing Fax
- (716) 250-6522
- Practice Street Address
- 36 N Union RD
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-5383
- Practice Country
- US
- Practice Phone
- (716) 636-1470
- Practice Fax
- (888) 886-2563
- Enumeration Date
- June 27, 2016
- Last Updated
- September 13, 2019
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Surgical Physician Assistant (363AS0400X)