Provider Demographics
NPI:1679278394
Name:KERNEN, ASHLEY
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:KERNEN
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 1:45191 GILMORE RD
Mailing Address - Street 2:
Mailing Address - City:CLARINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43915-9746
Mailing Address - Country:US
Mailing Address - Phone:740-213-4481
Mailing Address - Fax:
Practice Address - Street 1:45191 GILMORE RD
Practice Address - Street 2:
Practice Address - City:CLARINGTON
Practice Address - State:OH
Practice Address - Zip Code:43915-9746
Practice Address - Country:US
Practice Address - Phone:740-213-4481
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-03
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide