Individual
MRS. KELLI ANN KERNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
10401 SPOTSYLVANIA AVENUE, SUITE 201, FREDRICKSBURG, VA 22408-8606
(540) 741-3770
(540) 741-3775
Mailing address
2702 LAKEVIEW PARKWAY, LOCUST GROVE, VA 22508-5667
(540) 972-2402
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306601619
VA
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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