| NPI | 1477995470 |
|---|---|
| Professional Name | JUSTIN NICOLE KERNODLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: SC 1941) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: SC TL1941) |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2024-04-16 |