Individual provider · Type 1 NPI

Theodore Charles Kerner Jr., MD

Diagnostic Radiology Physician · Winston-Salem, NC

NPI number 1659303642 Active

Practice location

3155 Maplewood Avenue
Winston-Salem, NC 27103

Fax (336) 659-2379

Mailing address

3010 Trenwest Dr
Winston Salem, NC 27103-3208

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X38482 (NC)
Neuroradiology Physician 2085N0700X38482 (NC)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1659303642

Theodore Charles Kerner Jr., MD's National Provider Identifier is 1659303642, issued on Jul 7, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Winston-Salem, NC. The record was last updated on Sep 14, 2016.