Individual
ANDREA L KERINUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1313 FISH HATCHERY RD, MADISON, WI 53715-1911
(608) 252-8000
(608) 252-8233
Mailing address
1808 W BELTLINE HWY, MADISON, WI 53713-2334
(608) 280-4647
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4230-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609816313
—
WI
Enumeration date
06/08/2006
Last updated
11/30/2020
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