Organization
KERNAN FAMILY PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN M KERNAN FNP (FAMILY NURSE PRACTITIONER)
(458) 210-2940
Entity
Organization
Contact information
Practice address
120 SHELTON MCMURPHEY BLVD STE 300, EUGENE, OR 97401-8718
(458) 210-2940
(458) 215-4904
Mailing address
120 SHELTON MCMURPHEY BLVD STE 300, EUGENE, OR 97401-8718
(458) 210-2940
(458) 215-4904
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
201150172NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500643376
—
OR
Enumeration date
05/30/2013
Last updated
04/18/2018
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