Provider Demographics
NPI:1831317064
Name:KERSHNER, MARY GERALDINE (RN)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:GERALDINE
Last Name:KERSHNER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
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Mailing Address - Street 1:2801 COX NECK RD
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:MD
Mailing Address - Zip Code:21619-2345
Mailing Address - Country:US
Mailing Address - Phone:410-222-1626
Mailing Address - Fax:410-222-1614
Practice Address - Street 1:103 CHINQUAPIN ROUND RD
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-4003
Practice Address - Country:US
Practice Address - Phone:410-222-1626
Practice Address - Fax:410-222-1614
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDR135937163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health