Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 57964 | TN |
N | 207X00000X | Orthopaedic Surgeon | MD.35895 | AL |
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 57964 | TN |
NPI | 1093071268 |
---|---|
Provider Name | Michael James Kern |
First Address | Knoxville, TN 37920-1543 |
Second Address | Knoxville, TN 37920 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2012 |
Last Update Date | 07/09/2018 |