Provider Demographics
NPI:1821354788
Name:PIERRE, KERNES GUILLAUME (LPN)
Entity Type:Individual
Prefix:MR
First Name:KERNES
Middle Name:GUILLAUME
Last Name:PIERRE
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:87 CIRCLE DR N
Mailing Address - Street 2:
Mailing Address - City:ELMONT
Mailing Address - State:NY
Mailing Address - Zip Code:11003-2101
Mailing Address - Country:US
Mailing Address - Phone:516-233-1331
Mailing Address - Fax:
Practice Address - Street 1:87 CIRCLE DR N
Practice Address - Street 2:
Practice Address - City:ELMONT
Practice Address - State:NY
Practice Address - Zip Code:11003-2101
Practice Address - Country:US
Practice Address - Phone:516-233-1331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-05
Last Update Date:2012-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY300429-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse