NPI 1992760979

Kenneth M Kernen, MD

Practitioner Urology Physician Troy, MI

Practice location

Address: 130 Town Center Dr Suite 101, Troy, MI 48084-1744
Phone: (248) 740-0670
Fax: (248) 740-0668
Mailing address: 20952 E 12 Mile Rd Suite 200, St Clair Shores, MI 48081-3200

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 4301062269 (MI)

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Registry record

NPI: 1992760979
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Apr 2006
Record last updated: 28 Jul 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.