IndividualActive
Kristine Kernan
NPI 1669113874 · Gerontology Clinical Nurse Specialist · Livonia, MI
Provider details
- NPI number
- 1669113874
- Entity type
- Individual
- Primary specialty
- Gerontology Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4704312102 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
15980 Harrison St
Livonia, MI 48154-3455
Phone: (313) 580-5677
Approximate (ZIP-level) locationGet directions
Mailing address
15980 Harrison St
Livonia, MI 48154-3455
Registry dates
- Enumerated
- 2022-04-05
- Last updated
- 2022-04-05
- Certified
- 2022-04-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.