Individual
KRISTINE ELIZABETH KERNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15980 HARRISON ST, LIVONIA, MI 48154-3455
(313) 580-5677
Mailing address
15980 HARRISON ST, LIVONIA, MI 48154-3455
(313) 580-5677
Taxonomy
Speciality
Code
Description
License number
State
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
4704312102
MI
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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