Provider Demographics
NPI:1700824844
Name:KERN EMERGENCY MEDICAL
Entity Type:Organization
Organization Name:KERN EMERGENCY MEDICAL
Other - Org Name:KERN AMBULANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:BRANDON
Authorized Official - Last Name:WAINWRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-428-8712
Mailing Address - Street 1:2324 7TH ST
Mailing Address - Street 2:
Mailing Address - City:WASCO
Mailing Address - State:CA
Mailing Address - Zip Code:93280-1585
Mailing Address - Country:US
Mailing Address - Phone:661-758-3200
Mailing Address - Fax:661-758-9250
Practice Address - Street 1:2324 7TH ST
Practice Address - Street 2:
Practice Address - City:WASCO
Practice Address - State:CA
Practice Address - Zip Code:93280-1585
Practice Address - Country:US
Practice Address - Phone:661-758-3200
Practice Address - Fax:661-758-9250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18883416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport