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Individual

DR. ANGEL L KERNEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.,

Contact information

Practice address
1656 CHAMPLIN AVE, UTICA, NY 13502-4830
(315) 624-6241
(315) 624-6955
Mailing address
2209 GENESEE ST, BUSINESS OFFICE, UTICA, NY 13501-5930
(315) 801-3282
(315) 801-8391

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
195891
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0005789575
AETNA
NY
01
102777CK
PREFERRED CARE
NY
01
P010195891
EXCELLUS
NY
Enumeration date
05/10/2006
Last updated
12/21/2016
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