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Individual

DEBORAH ANN KERNOHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
1530 S MAIN ST, FARMVILLE, VA 23901-2546
(434) 315-2890
(434) 392-0333
Mailing address
1530 S MAIN ST, FARMVILLE, VA 23901-2546
(434) 315-2890
(434) 392-0333

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024172598
VA
363LA2200X
Adult Health Nurse Practitioner
11704-NP
OH
363LA2200X
Adult Health Nurse Practitioner
RN 191533 COA-1
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3106516
OH
Enumeration date
09/20/2010
Last updated
11/20/2019
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