Individual
CONNOR MCKERNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
411 NY 17M, MONROE, NY 10950
(845) 507-0477
Mailing address
1650 LYNDON FARM CT STE 300, LOUISVILLE, KY 40223-5005
(951) 374-7288
(951) 666-5099
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
62-P124360-01
NY
Other
Enumeration date
09/05/2023
Last updated
11/16/2023
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