Provider Demographics
NPI:1245386119
Name:KERN, DAVID (ND, LAC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:KERN
Suffix:
Gender:M
Credentials:ND, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2395 S KIHEI RD STE 204
Mailing Address - Street 2:
Mailing Address - City:KIHEI
Mailing Address - State:HI
Mailing Address - Zip Code:96753-8635
Mailing Address - Country:US
Mailing Address - Phone:808-874-5660
Mailing Address - Fax:808-874-5661
Practice Address - Street 1:2395 S KIHEI RD STE 204
Practice Address - Street 2:
Practice Address - City:KIHEI
Practice Address - State:HI
Practice Address - Zip Code:96753-8635
Practice Address - Country:US
Practice Address - Phone:808-874-5660
Practice Address - Fax:808-874-5661
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI280171100000X
HI68175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist