Kernan Family Practice LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

201150172NP Issued in OR

Legal business name

KERNAN FAMILY PRACTICE LLC

Practice address

120 Shelton McMurphey Blvd Ste 300
Eugene, OR 97401-8718

Phone

(458) 210-2940

Fax

(458) 215-4904

NPI assigned

May 30, 2013

Organization subpart

No

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

Authorized official

Name

Kathryn M Kernan, FNP

Title

Family Nurse Practitioner

Phone

(458) 210-2940

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth P Quillin, MD

  • Family Medicine Physician
  • Eugene, OR
  • NPI 1750391264
  NPD

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

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524009600000",
    "number": "1871930909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 SHELTON MCMURPHEY BLVD STE 300",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974018718",
            "telephone_number": "458-210-2940",
            "fax_number": "458-215-4904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SHELTON MCMURPHEY BLVD STE 300",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974018718",
            "telephone_number": "458-210-2940",
            "fax_number": "458-215-4904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERNAN FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-30",
        "last_updated": "2018-04-18",
        "status": "A",
        "authorized_official_last_name": "KERNAN",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "458-210-2940",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OR",
            "license": "201150172NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500643376",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Markisha Kiahnna Kenney, PSS, CHW
• Christin Rachel Kenny
• Kensington Rehabilitation Health Center LLC
• Analidia Kensler
• Gwendolyn Kent
• Kathryn M Kernan, FNP
• Shelly Kerr, PHD
• Tia Kerrigan, CADC-R, QMHA-R
• Michael Shane Kersten
• Wendi Lynn Kessell, LPN

• Primary Care Clinic/Center in Eugene, OR
• Providers in Eugene, OR by specialty
• Primary Care Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2018; 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.