Dr. Matthew Brooks Kerner, D.M.D
Dentist in Charleston, WV. Individual provider (NPI-1).
NPI number1083709232
StatusActive
Last updated in NPPESNov 15, 2007
Details
- NPI
- 1083709232
- Entity type
- Individual (NPI-1)
- Name
- Dr. Matthew Brooks Kerner
- Credential
- D.M.D
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 4, 2006
- Last updated
- Nov 15, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 0160002193 | VT | Yes |
Practice location
803 Pennsylvania AveSte 302
Charleston, WV 25302
Phone 304-388-2950 · Fax 304-388-2951
Mailing address
200 Morris St#107
Charleston, WV 25301-1821
Phone 304-344-2220 · Fax 304-388-2951
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