Provider Demographics
NPI:1336348069
Name:KERN, CHRISTIE S (R AC)
Entity Type:Individual
Prefix:MS
First Name:CHRISTIE
Middle Name:S
Last Name:KERN
Suffix:
Gender:F
Credentials:R AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:651 S 27TH ST
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17111-1120
Mailing Address - Country:US
Mailing Address - Phone:717-829-5287
Mailing Address - Fax:
Practice Address - Street 1:651 S 27TH ST
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17111-1120
Practice Address - Country:US
Practice Address - Phone:717-829-5287
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-12
Last Update Date:2007-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAK000877171100000X
WI515-055171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist