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Individual
LISA KRISTEN KERNIC
Active
Individual
LISA KRISTEN KERNIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS010004L
PA
208M00000X
Hospitalist Physician
Primary
OS010004L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001859759
—
PA
01
—
050334
MEDICARE
PA
Enumeration date
06/14/2006
Last updated
02/20/2018
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