Provider Demographics
NPI:1184845943
Name:KERNER, TODD ERIC (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:TODD
Middle Name:ERIC
Last Name:KERNER
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6905 HOSPITAL DR
Mailing Address - Street 2:SUITE 120
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-9600
Mailing Address - Country:US
Mailing Address - Phone:614-792-3767
Mailing Address - Fax:614-792-3768
Practice Address - Street 1:6905 HOSPITAL DR
Practice Address - Street 2:SUITE 120
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-9600
Practice Address - Country:US
Practice Address - Phone:614-792-3767
Practice Address - Fax:614-792-3768
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2011-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.091057208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation