Provider Demographics
NPI:1811003452
Name:KERNER, DANA L (DO)
Entity Type:Individual
Prefix:DR
First Name:DANA
Middle Name:L
Last Name:KERNER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:283 SECOND STREET PIKE
Mailing Address - Street 2:SUITE 145
Mailing Address - City:SOUTHAMPTON
Mailing Address - State:PA
Mailing Address - Zip Code:18966-3823
Mailing Address - Country:US
Mailing Address - Phone:215-322-2213
Mailing Address - Fax:215-322-2214
Practice Address - Street 1:283 SECOND STREET PIKE
Practice Address - Street 2:SUITE 145
Practice Address - City:SOUTHAMPTON
Practice Address - State:PA
Practice Address - Zip Code:18966-3823
Practice Address - Country:US
Practice Address - Phone:215-322-2213
Practice Address - Fax:215-322-2214
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2017-04-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PA0S009988L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA422819OtherBLUE SHIELD
PA422819OtherBLUE SHIELD
PA038058Medicare PIN