# DR. MIKELLE LOUELLA KERNIG

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1114004579
- **Gender:** F
- **Credential:** BM, DDS, MS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0106X | Oral and Maxillofacial Pathology Dentistry | DN012237 | GA | — |
| 1223P0106X | Oral and Maxillofacial Pathology Dentistry | MD60797389 | WA | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 02/17/2023