Individual
SHANNON LOUISE KERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1686 DEER FORD WAY, YORK, PA 17408-4262
(717) 624-6481
Mailing address
1686 DEER FORD WAY, YORK, PA 17408-4262
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT012592L
PA
2251P0200X
Pediatric Physical Therapist
Primary
PT012592L
PA
Other
Enumeration date
02/23/2009
Last updated
02/01/2011
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