Provider Demographics
NPI:1841313616
Name:KERNA, PAUL DAVID (DMD)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:DAVID
Last Name:KERNA
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 WEST FIRST STREET
Mailing Address - Street 2:
Mailing Address - City:OIL CITY
Mailing Address - State:PA
Mailing Address - Zip Code:16301-2757
Mailing Address - Country:US
Mailing Address - Phone:814-676-1836
Mailing Address - Fax:814-676-3104
Practice Address - Street 1:108 WEST FIRST STREET
Practice Address - Street 2:
Practice Address - City:OIL CITY
Practice Address - State:PA
Practice Address - Zip Code:16301-2757
Practice Address - Country:US
Practice Address - Phone:814-676-1836
Practice Address - Fax:814-676-3104
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADSO19592L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist