Kernodle Healthcare Group, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

KERNODLE HEALTHCARE GROUP, PLLC

Practice address

1234 Huffman Mill Road
Burlington, NC 27215

Phone

(336) 538-1234

Fax

(336) 538-2414

NPI assigned

Jan 10, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Bert J Klein III, M.D.

Title

Manager

Phone

(336) 538-1234

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673308800000",
    "number": "1407560816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 HUFFMAN MILL ROAD",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "27215",
            "telephone_number": "336-538-1234",
            "fax_number": "336-538-2414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 HUFFMAN MILL ROAD",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "27215",
            "telephone_number": "336-538-1234",
            "fax_number": "336-538-2414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERNODLE HEALTHCARE GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "BERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "336-538-1234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah June Kennerson-Webb
• William K Kephart, MD
• Madison Lee Kernick, DDS
• Kernodle Clinic, Inc
• Kernodle Clinic, Inc
• George Wallace Kernodle Jr., M.D.
• Harold B. Kernodle Jr., M.D.
• Kervin Mack DMD Ms PLLC
• Key Therapy
• Charles Key, LCAS-A

• Internal Medicine Physician in Burlington, NC
• Providers in Burlington, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.