Provider Demographics
NPI:1144248154
Name:KERNER, MICHAEL B (DO)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:B
Last Name:KERNER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:100 WITMER RD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:HORSHAM
Mailing Address - State:PA
Mailing Address - Zip Code:19044-2251
Mailing Address - Country:US
Mailing Address - Phone:215-442-5085
Mailing Address - Fax:215-672-4264
Practice Address - Street 1:12 FURLONG DR
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-5139
Practice Address - Country:US
Practice Address - Phone:856-795-0543
Practice Address - Fax:856-795-0544
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2010-08-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOS009184L207L00000X
NJ25MB06885800207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology