Provider Demographics
NPI:1386206712
Name:YU, KERNEY (FNP-C)
Entity Type:Individual
Prefix:
First Name:KERNEY
Middle Name:
Last Name:YU
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:363 COLLEGE RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23173-0009
Mailing Address - Country:US
Mailing Address - Phone:804-289-8064
Mailing Address - Fax:804-287-6466
Practice Address - Street 1:363 COLLEGE RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23173-0009
Practice Address - Country:US
Practice Address - Phone:804-289-8064
Practice Address - Fax:804-287-6466
Is Sole Proprietor?:No
Enumeration Date:2019-07-06
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5011967363L00000X
VA0024180677363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner