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Contact Information

MATTHEW B KERNER, DMD
803 PENNSYLVANIA AVE
STE 302
CHARLESTON, WV25302
 Phone: 304-388-2950
 Fax: 304-388-2951
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for MATTHEW B KERNER · (Male)

NPI Number 1083709232
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 10/04/2006
Last updated 11/15/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • VT License # 0160002193
  • VT Medicaid 1010666
  • WV Medicaid 3810009544
  • VT Other 0160002193 STATE LICENSE
Hospital affiliation(s) Not Available
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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