Provider Demographics
NPI:1710175922
Name:KERNER, LINDA L (HIS)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:L
Last Name:KERNER
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1460 W 38TH ST
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16508-2324
Mailing Address - Country:US
Mailing Address - Phone:814-864-1556
Mailing Address - Fax:814-864-2592
Practice Address - Street 1:1460 W 38TH ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16508-2324
Practice Address - Country:US
Practice Address - Phone:814-864-1556
Practice Address - Fax:814-864-2592
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-12
Last Update Date:2007-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAF03024237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist