Cory Jerome Kern PA-C

NPI 1538475744 - Physician Assistant - 363AM0700X

NPI Details
NPI 1538475744
Gender Male
Enumeration Date 08/25/2010
Last Updated 08/25/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
2111 FORT WORTH HWY
WEATHERFORD TX, 76086-4834, US
Phone (817) 596-3700
Fax (866) 883-0041
Business Location
1209 VINE ST
WEATHERFORD TX, 76086-2201, US
Phone (817) 598-9153
Fax (866) 883-0041
Toxanomy
Taxonomy Code 363AM0700X
License State Texas
License Number PA06773
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According to our database, Cory Jerome Kern PA-C NPI is 1538475744, taxonomy code is 363AM0700X and license number is PA06773, license state is located at Texas. Cory Jerome Kern PA-C physically located at 2111 Fort Worth Hwy, Weatherford TX, 76086-4834. NPI Number Cory Jerome Kern PA-C has the Individual type.

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1538475744 NPI number is provided on an as is basis without warranty of any kind. 1538475744 is maintained by the National Plan & Provider Enumeration System. The contents of Cory Jerome Kern PA-C are for informational purposes only.