Individual
CAITLIN ROSE KERNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 COULTER RD, CLIFTON SPRINGS, NY 14432-1122
(315) 462-1560
Mailing address
42 NORTH AVE, MANCHESTER, NY 14504-9769
(315) 521-5934
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F349862-01
NY
Other
Enumeration date
07/25/2022
Last updated
07/25/2022
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