Individual
CAROLINE HANNAH KEARNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
300 POSEY LN APT 301, CENTERVILLE, OH 45459-2289
(203) 814-4888
Mailing address
300 POSEY LN APT 301, CENTERVILLE, OH 45459-2289
(203) 814-4888
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.007890RX
OH
363A00000X
Physician Assistant
MA062236
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016184
—
OH
01
—
MA062236
PA LICENSE
PA
01
—
OA005506
OA LICENSE
PA
Enumeration date
03/17/2020
Last updated
05/11/2026
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