KEVIN L BERNING MD
Surgery Yellow Pages
Fort Wayne, Indiana
Provider NPI: 1164423620
Provider Information:KEVIN L BERNING MD
Practice Location:
11141 PARKVIEW PLAZA DR STE 300 FORT WAYNE, IN 46845 US
Tel: 260-490-7111 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 2082S0105X | Physicians Plastic Surgery Surgery of the Hand | IN | 01055645A |
Y | 208200000X | Physicians Plastic Surgery | IN | 01055645A |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
104394511 | MI | 05 | |
200377060 | IN | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin