| Dana L. Kerner D.o. Llc | |
|
501 Street Rd Ste 100 Southampton PA 18966-3796 | |
| (215) 322-2213 | |
| (215) 322-2214 |
| Full Name | Dana L. Kerner D.o. Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 501 Street Rd Ste 100, Southampton, Pennsylvania |
| Authorized Official Name and Position | Dana L. Kerner (OWNER/PHYSICIAN) |
| Authorized Official Contact | 2153222213 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dana L. Kerner D.o. Llc 501 Street Rd Ste 100 Southampton PA 18966-3796 Ph: (215) 322-2213 | Dana L. Kerner D.o. Llc 501 Street Rd Ste 100 Southampton PA 18966-3796 Ph: (215) 322-2213 |
| NPI Number | 1366768384 |
|---|---|
| Provider Enumeration Date | 04/15/2010 |
| Last Update Date | 03/15/2011 |
| Medicare PECOS PAC ID | 7416085949 |
|---|---|
| Medicare Enrollment ID | O20100504000698 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366768384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OS009988L (Pennsylvania) | Primary |
| Provider Name | Dana L Kerner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811003452 PECOS PAC ID: 4688702277 Enrollment ID: I20100430000532 |
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