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1275802696
ASHLEY BLACK KERNICKY
CHARLOTTE, NC
NPI
1275802696
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Former Name
ASHLEY CHRISTINE BLACK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-03352)
Enumeration Date
2011-12-14
Last Update Date
2013-01-16
Business Address
-- ASHLEY BLACK KERNICKY PA-C
9848 N TRYON ST
CHARLOTTE, NC 28262-5512
Phone number: 704-323-2000
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Mailing Address
-- ASHLEY BLACK KERNICKY PA-C
4601 PARK RD SUITE 300
CHARLOTTE, NC 28209-3239
Phone number: 704-323-2000
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