Provider Demographics
NPI:1629656319
Name:KERSCHBAUMER, KARA ANN
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:ANN
Last Name:KERSCHBAUMER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1375 BIG BEND RD
Mailing Address - Street 2:
Mailing Address - City:EMLENTON
Mailing Address - State:PA
Mailing Address - Zip Code:16373-7017
Mailing Address - Country:US
Mailing Address - Phone:724-525-2733
Mailing Address - Fax:
Practice Address - Street 1:1375 BIG BEND RD
Practice Address - Street 2:
Practice Address - City:EMLENTON
Practice Address - State:PA
Practice Address - Zip Code:16373-7017
Practice Address - Country:US
Practice Address - Phone:724-525-2733
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-01
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker