Kern, Steven Mark
Kern, Steven Mark is an sole proprietor health care provider with primary practice located at 1790 Sun Peak Dr Ste A103 , Park City UT 84098. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Kern, Steven Mark can be contacted via phone (435) 658-1013.Contact Information
Primary practice address
1790 Sun Peak Dr Ste A103
Park City UT 84098
Phone: (435) 658-1013
Fax: (435) 658-3513
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 330766827 | Utah |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 18908 | Nevada |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 3673151205 | Utah |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 22469 | Arizona |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | G58292 | California |
Profile Details
| NPI number | 1104814102 |
|---|---|
| LBN Legal business name | Kern, Steven Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 12th, 2005 |
| Last updated | Mar 7th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104814102 | NPPES |
| Utah | Other | 05D0692505 | CLIA CERTIFICATE |
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