Provider Demographics
NPI:1871091900
Name:KERN INFUSION CLINIC, INC.
Entity type:Organization
Organization Name:KERN INFUSION CLINIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:INDER
Authorized Official - Middle Name:
Authorized Official - Last Name:BAHIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-557-4189
Mailing Address - Street 1:5401 WHITE LN STE D
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-6279
Mailing Address - Country:US
Mailing Address - Phone:661-396-7100
Mailing Address - Fax:
Practice Address - Street 1:5401 WHITE LN STE D
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-6279
Practice Address - Country:US
Practice Address - Phone:661-396-7100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-23
Last Update Date:2018-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty