Provider Demographics
NPI:1386606549
Name:KERN, MELISSA D (MD)
Entity type:Individual
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First Name:MELISSA
Middle Name:D
Last Name:KERN
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Gender:F
Credentials:MD
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Mailing Address - Street 1:46161 WESTLAKE DR
Mailing Address - Street 2:STE 300
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20165-5871
Mailing Address - Country:US
Mailing Address - Phone:703-434-2927
Mailing Address - Fax:703-908-9647
Practice Address - Street 1:46161 WESTLAKE DR STE 300
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20165-5871
Practice Address - Country:US
Practice Address - Phone:571-434-2927
Practice Address - Fax:571-434-0838
Is Sole Proprietor?:No
Enumeration Date:2006-04-04
Last Update Date:2021-11-18
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Provider Licenses
StateLicense IDTaxonomies
VA0101053080207W00000X, 207WX0110X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0110XAllopathic & Osteopathic PhysiciansOphthalmologyPediatric Ophthalmology and Strabismus Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
F31074Medicare UPIN