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Individual
MR. KENNETH ROBERT KERNAGIS
Active
Individual
MR. KENNETH ROBERT KERNAGIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0105601
NM
Other
Enumeration date
12/12/2013
Last updated
12/12/2013
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