Provider Demographics
NPI:1295721892
Name:KERNER, JOHN HENRY (DC)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:HENRY
Last Name:KERNER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3103 HULMEVILLE RD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-4365
Mailing Address - Country:US
Mailing Address - Phone:215-639-6099
Mailing Address - Fax:215-639-6094
Practice Address - Street 1:3103 HULMEVILLE RD
Practice Address - Street 2:SUITE 106
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-4365
Practice Address - Country:US
Practice Address - Phone:215-639-6099
Practice Address - Fax:215-639-6094
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC001568L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA00071603601Medicaid
PA00071603601Medicaid
KE98067Medicare ID - Type Unspecified