Provider Demographics
NPI:1750546867
Name:KERBER, AYN H (MD)
Entity type:Individual
Prefix:
First Name:AYN
Middle Name:H
Last Name:KERBER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1 HOSPITAL DR
Mailing Address - Street 2:SUITE 306
Mailing Address - City:LEWISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17837-9350
Mailing Address - Country:US
Mailing Address - Phone:570-522-4110
Mailing Address - Fax:570-768-3911
Practice Address - Street 1:7095 WESTBRANCH HIGHWAY
Practice Address - Street 2:SUTIE 1100
Practice Address - City:LEWISBURG
Practice Address - State:PA
Practice Address - Zip Code:17837-6808
Practice Address - Country:US
Practice Address - Phone:570-524-5050
Practice Address - Fax:570-524-5250
Is Sole Proprietor?:No
Enumeration Date:2008-07-29
Last Update Date:2016-11-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD441986207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1026126600001Medicaid
PA226029NYFMedicare PIN