Provider Demographics
NPI:1093264368
Name:KERN MEDICAL SURGERY CENTER, LLC
Entity Type:Organization
Organization Name:KERN MEDICAL SURGERY CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF STRATEGY OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:THYGERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-326-2106
Mailing Address - Street 1:9300 STOCKDALE HWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-3613
Mailing Address - Country:US
Mailing Address - Phone:661-326-2106
Mailing Address - Fax:
Practice Address - Street 1:9300 STOCKDALE HWY
Practice Address - Street 2:SUITE 200
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-3613
Practice Address - Country:US
Practice Address - Phone:661-326-2106
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-28
Last Update Date:2016-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical