Provider Demographics
NPI:1811984321
Name:KERN, KARA (MD)
Entity type:Individual
Prefix:DR
First Name:KARA
Middle Name:
Last Name:KERN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 RIVERWOOD CT
Mailing Address - Street 2:SUITE 105
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77304-2890
Mailing Address - Country:US
Mailing Address - Phone:936-760-4454
Mailing Address - Fax:936-760-4415
Practice Address - Street 1:800 RIVERWOOD CT
Practice Address - Street 2:SUITE 105
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77304-2890
Practice Address - Country:US
Practice Address - Phone:936-760-4454
Practice Address - Fax:936-760-4415
Is Sole Proprietor?:No
Enumeration Date:2005-09-29
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL4018207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX156929501Medicaid
TX8B4780Medicare ID - Type Unspecified
TXH79064Medicare UPIN