Mckernan, Kaili Ann

Mckernan, Kaili Ann is an individual health care provider with primary practice located at 7 Bristol Ct , Wyomissing PA 19610-1805. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Mckernan, Kaili Ann can be contacted via phone (484) 706-9465.

Contact Information

Primary practice address
7 Bristol Ct Wyomissing PA 19610-1805
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X APC000258 Pennsylvania

Profile Details

NPI number 1003381328
LBN Legal business name Mckernan, Kaili Ann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2018
Last updated Aug 16th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003381328 NPPES
Maryland MEDICAID 483106300

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