Provider Demographics
NPI:1093736688
Name:KERNS, PAUL J (MD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:J
Last Name:KERNS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2720 PLAZA DR STE 2100
Mailing Address - Street 2:ASPIRUS OB/GYN ASSOCIATES
Mailing Address - City:WAUSAU
Mailing Address - State:WI
Mailing Address - Zip Code:54401-4157
Mailing Address - Country:US
Mailing Address - Phone:715-847-2475
Mailing Address - Fax:
Practice Address - Street 1:2720 PLAZA DR STE 2100
Practice Address - Street 2:ASPIRUS OB/GYN ASSOCIATES
Practice Address - City:WAUSAU
Practice Address - State:WI
Practice Address - Zip Code:54401-4157
Practice Address - Country:US
Practice Address - Phone:715-847-2475
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2012-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0064381207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology