Andrea G. Kern, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

DH16701 Issued in FL

Practice address

307 Boatner Rd Ste 114
96TH Dental SQD
Eglin Afb, FL 32542-1302

Phone

(850) 883-8712

NPI assigned

Jan 24, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Andrea G Stewart Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851446603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7284 REXFORD ST",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325666745",
            "telephone_number": "850-368-0296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 BOATNER RD STE 114",
            "address_2": "96TH DENTAL SQD",
            "city": "EGLIN AFB",
            "state": "FL",
            "postal_code": "325421302",
            "telephone_number": "850-883-8712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERN",
        "first_name": "ANDREA",
        "middle_name": "G.",
        "name_prefix": "Mrs.",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "FL",
            "license": "DH16701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "STEWART",
            "middle_name": "G",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ryan Kauffman, DPT
• Mark Walter Keilbarth, DO
• Courtney Kelly, DMD
• Kestraunda Kelly, FNP
• Ngoc Kelsch, DENTAL HYGIENIST
• Abigail Kiesow, MD
• Caleb Kiesow, MD
• Dereje A Kifle
• Jonah R Kincaid
• Scott Alexander King, M.D.

• Dental Hygienist in Eglin Afb, FL
• Providers in Eglin Afb, FL by specialty
• Dental Hygienist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.