Individual
KAILI ANN MCKERNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7 BRISTOL CT, WYOMISSING, PA 19610-1805
(484) 706-9465
Mailing address
7 BRISTOL CT, WYOMISSING, PA 19610-1805
(484) 706-9465
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
APC000258
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
483106300
—
MD
Enumeration date
10/12/2018
Last updated
08/16/2024
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