Provider Demographics
NPI:1033407168
Name:KERN, BRIAN J (MA)
Entity Type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:J
Last Name:KERN
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6253 SANDY CT
Mailing Address - Street 2:
Mailing Address - City:NEW TRIPOLI
Mailing Address - State:PA
Mailing Address - Zip Code:18066-3649
Mailing Address - Country:US
Mailing Address - Phone:484-553-0218
Mailing Address - Fax:
Practice Address - Street 1:6253 SANDY CT
Practice Address - Street 2:
Practice Address - City:NEW TRIPOLI
Practice Address - State:PA
Practice Address - Zip Code:18066-3649
Practice Address - Country:US
Practice Address - Phone:484-553-0218
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-11
Last Update Date:2011-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral