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Contact Information

KEVIN L BERNING, MD
11141 PARKVIEW PLAZA DR STE 300
FORT WAYNE, IN46845-1715
 Phone: 260-490-7111
 Fax: 260-490-2286
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
 

Surgery of the Hand

2082S0105X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for KEVIN L BERNING · (Male)

NPI Number 1164423620
Status Active
Credentials MD
Entity Individual
Enumeration date 08/09/2005
Last updated 10/15/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01055645A
  • IN Medicaid 200377060
  • MI Medicaid 104394511
Hospital affiliation(s)
  • PARKVIEW REGIONAL MEDICAL CENTER - (Acute Care)
    11109 PARKVIEW PLAZA DRIVE
    FORT WAYNE, IN 46845
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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