Most Relevant Information
Provider Data
| NPI Number: | 1003381328 |
| Provider Name: | KAILI ANN MCKERNAN |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: | APC000258 |
Most Important Dates
| Enumeration Date: | 10/12/2018 |
| Last Updated: | 08/16/2024 |
Provider Practice Location
7 BRISTOL CT
WYOMISSING
PA
196101805
Practice Location Phone/Fax
| Phone: | 4847069465 |
| Fax: |
Provider Mailing Location
7 BRISTOL CT
WYOMISSING
PA
196101805
Provider Mailing Phone/Fax
| Phone: | 4847069465 |
| Fax: |