# GENERATIONS FAMILY PRACTICE, PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GENERATIONS FAMILY PRACTICE, PA
- **Other names:** Kernersville Primary Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1003558461
- **Legal business name:** GENERATIONS FAMILY PRACTICE, PA
- **Authorized official:** KATHRYN GENNA ONEILL (PROVIDER CREDENTIALING SPECIALIST)
- **Authorized official phone:** (919) 439-8108

## Contact information

- **Practice address:** 420 W MOUNTAIN ST, KERNERSVILLE, NC 27284-2534
- **Practice address phone:** (336) 993-1618
- **Practice address fax:** (336) 993-5512
- **Mailing address:** 1000 CENTRE GREEN WAY STE 270, CARY, NC 27513-2282
- **Mailing address phone:** (336) 993-1618
- **Mailing address fax:** (336) 993-5512

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/07/2022
- **Last updated:** 03/30/2026