Provider Demographics
NPI:1881653616
Name:KERNER, DAWNIELLE J (MD)
Entity type:Individual
Prefix:DR
First Name:DAWNIELLE
Middle Name:J
Last Name:KERNER
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Gender:F
Credentials:MD
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Mailing Address - Street 1:860 OMNI BLVD
Mailing Address - Street 2:STE 101
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-4430
Mailing Address - Country:US
Mailing Address - Phone:757-232-8769
Mailing Address - Fax:757-232-8875
Practice Address - Street 1:160 KINGSLEY LN
Practice Address - Street 2:SUITE 300
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23505-4600
Practice Address - Country:US
Practice Address - Phone:757-440-1144
Practice Address - Fax:757-440-1117
Is Sole Proprietor?:No
Enumeration Date:2006-03-21
Last Update Date:2019-12-19
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Provider Licenses
StateLicense IDTaxonomies
VA0101052595207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
F87031Medicare UPIN