Provider Demographics
NPI:1790310910
Name:KERN, DARBY VICTORIA (DC)
Entity Type:Individual
Prefix:DR
First Name:DARBY
Middle Name:VICTORIA
Last Name:KERN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 BROAD ST STE 101A
Mailing Address - Street 2:
Mailing Address - City:SEWICKLEY
Mailing Address - State:PA
Mailing Address - Zip Code:15143-1554
Mailing Address - Country:US
Mailing Address - Phone:412-741-5451
Mailing Address - Fax:412-741-5452
Practice Address - Street 1:409 BROAD ST STE 101A
Practice Address - Street 2:
Practice Address - City:SEWICKLEY
Practice Address - State:PA
Practice Address - Zip Code:15143-1554
Practice Address - Country:US
Practice Address - Phone:412-741-5451
Practice Address - Fax:412-741-5452
Is Sole Proprietor?:No
Enumeration Date:2020-03-09
Last Update Date:2020-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC011535111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor