Kristine Elizabeth Kernan

Primary specialty

Gerontology Clinical Nurse SpecialistTaxonomy code 364SG0600X

License

4704312102 Issued in MI

Practice address

15980 Harrison St
Livonia, MI 48154-3455

Phone

(313) 580-5677

NPI assigned

Apr 5, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1669113874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15980 HARRISON ST",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481543455",
            "telephone_number": "313-580-5677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15980 HARRISON ST",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481543455",
            "telephone_number": "313-580-5677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERNAN",
        "first_name": "KRISTINE",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "MI",
            "license": "4704312102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Nicole Keppen, DPT
• Stacy Zwick Ker, DO
• Hadeiyeh Kerek
• Quinn Robert Kern Allely, MD
• Matthew Kern
• Mackenzie Kernen
• Stephanie Kerner, PTA
• Joseph Kerr, DPM
• Andrea Kersten, PHARMD
• Brandon Keskitalo, PT, DPT

• Gerontology Clinical Nurse Specialist in Livonia, MI
• Providers in Livonia, MI by specialty
• Gerontology Clinical Nurse Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.