| Kernan Family Practice Llc | |
|
120 Shelton Mcmurphey Blvd Ste 300 Eugene OR 97401-8718 | |
| (458) 210-2940 | |
| (458) 215-4904 |
| Full Name | Kernan Family Practice Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 120 Shelton Mcmurphey Blvd Ste 300, Eugene, Oregon |
| Authorized Official Name and Position | Kathryn M Kernan (FAMILY NURSE PRACTITIONER) |
| Authorized Official Contact | 4582102940 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kernan Family Practice Llc 120 Shelton Mcmurphey Blvd Ste 300 Eugene OR 97401-8718 Ph: (458) 210-2940 | Kernan Family Practice Llc 120 Shelton Mcmurphey Blvd Ste 300 Eugene OR 97401-8718 Ph: (458) 210-2940 |
| NPI Number | 1871930909 |
|---|---|
| Provider Enumeration Date | 05/30/2013 |
| Last Update Date | 04/18/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871930909 | NPI | - | NPPES |
| 500643376 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 201150172NP (Oregon) | Primary |
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