Provider Demographics
NPI:1588930879
Name:KERN, JOHN MATTHEW (DO)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:MATTHEW
Last Name:KERN
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:100 N ACADEMY AVE
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17822-4903
Mailing Address - Country:US
Mailing Address - Phone:570-271-6144
Mailing Address - Fax:570-271-6578
Practice Address - Street 1:65 W JIMMIE LEEDS RD
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:NJ
Practice Address - Zip Code:08240-9102
Practice Address - Country:US
Practice Address - Phone:609-748-7089
Practice Address - Fax:609-652-3460
Is Sole Proprietor?:No
Enumeration Date:2012-03-30
Last Update Date:2022-04-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA20A14704207R00000X
PAOS019732207RC0200X, 207RP1001X
NJ25MB11039400207RP1001X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease