Provider Demographics
NPI:1386738490
Name:KERN, GEORGE W IV (MD)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:W
Last Name:KERN
Suffix:IV
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:520 MAPLE AVE
Mailing Address - Street 2:SUITE 6
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-4434
Mailing Address - Country:US
Mailing Address - Phone:610-436-5491
Mailing Address - Fax:610-436-6530
Practice Address - Street 1:520 MAPLE AVE
Practice Address - Street 2:SUITE 6
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-4434
Practice Address - Country:US
Practice Address - Phone:610-436-5491
Practice Address - Fax:610-436-6530
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2008-02-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD012769E207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0026770000OtherINDEPENDENCE BLUES
PA4271977OtherAETNA NATIONWIDE
PA119765OtherBLUE SHIELD-NATIONWIDE
PAC30681Medicare UPIN
PA4271977OtherAETNA NATIONWIDE