Individual
DR. MIKELLE LOUELLA KERNIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BM, DDS, MS
Contact information
Practice address
13103 E MANSFIELD AVENUE, SPOKANE VALLEY, WA 99216-1642
(509) 892-2700
(509) 892-2740
Mailing address
PO BOX 3405, SPOKANE, WA 99220-3405
(509) 892-2700
(509) 892-2740
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
DN012237
GA
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
MD60797389
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2130862
—
WA
Enumeration date
11/01/2006
Last updated
02/17/2023
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