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Contact Information

MATTHEW J KERNAN, P.T.A
16002 LAKE SHORE VILLA DR
TAMPA, FL33613
 Phone: 813-968-5093
 Fax: 813-968-5934
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for MATTHEW J KERNAN · (Male)

NPI # 1639497027
Status Active
Credentials P.T.A
Entity Individual
Enumeration date 05/10/2010
Last updated 05/10/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # 21681
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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