Provider Demographics
NPI:1083140511
Name:KERSHNER, EMILY KATHLEEN (MD)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:KATHLEEN
Last Name:KERSHNER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1250 E. MARSHALL ST P.O. BOX 980401
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23298
Mailing Address - Country:US
Mailing Address - Phone:804-828-5250
Mailing Address - Fax:
Practice Address - Street 1:1250 E. MARSHALL ST.
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23298
Practice Address - Country:US
Practice Address - Phone:804-828-5250
Practice Address - Fax:804-828-4686
Is Sole Proprietor?:No
Enumeration Date:2017-05-03
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101268778207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine