Provider Demographics
NPI:1942622535
Name:KERN, BARRY (M D)
Entity Type:Individual
Prefix:
First Name:BARRY
Middle Name:
Last Name:KERN
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 512
Mailing Address - Street 2:
Mailing Address - City:KAHULUI
Mailing Address - State:HI
Mailing Address - Zip Code:96733-7012
Mailing Address - Country:US
Mailing Address - Phone:808-385-3707
Mailing Address - Fax:
Practice Address - Street 1:72 PAPAHI LOOP
Practice Address - Street 2:
Practice Address - City:KAHULUI
Practice Address - State:HI
Practice Address - Zip Code:96732-2584
Practice Address - Country:US
Practice Address - Phone:808-877-5195
Practice Address - Fax:808-877-5195
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-15
Last Update Date:2014-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI139132083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine