Individual
JOHN WILLIAM KERSHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
200 HAWTHORNE LN, BEHAVIORAL HEALTH BUILDING, CHARLOTTE, NC 28204-2515
(843) 992-0216
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-9414
(704) 384-5735
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
0010-05335
NC
363A00000X
Physician Assistant
Primary
0010-05335
NC
Other
Enumeration date
10/31/2014
Last updated
12/08/2020
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