Provider Demographics
NPI:1316408404
Name:KERNAN, DANIELLE MARIE (DO)
Entity Type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:MARIE
Last Name:KERNAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:MARIE
Other - Last Name:PAPINCAK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:224 LONGFELLOW ST STE 200
Mailing Address - Street 2:
Mailing Address - City:VANDERGRIFT
Mailing Address - State:PA
Mailing Address - Zip Code:15690-1476
Mailing Address - Country:US
Mailing Address - Phone:724-568-5551
Mailing Address - Fax:724-568-3137
Practice Address - Street 1:224 LONGFELLOW ST STE 200
Practice Address - Street 2:
Practice Address - City:VANDERGRIFT
Practice Address - State:PA
Practice Address - Zip Code:15690-1476
Practice Address - Country:US
Practice Address - Phone:724-568-5551
Practice Address - Fax:724-568-3137
Is Sole Proprietor?:No
Enumeration Date:2019-03-29
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS022513207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine