Doctor Name: | HOLLY N KERNS |
NPI Number: | 1013331875 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LGSW |
License Number: | BP00944337 |
Business Practice Address: | 1 Prestera Way Huntington, WV - 257052069 |
Business Phone Number: | 3045257851 |
Business Fax Number: | 3043991202 |
Mailing Address: | 1 Prestera Way, HUNTINGTON |
State: | WV |
Postal Code: | 257052069 |
Phone Number: | 3045257851 |
Fax Number: | 3043993700 |
NPI Enumeration Date: | 02/13/2014 |
NPI Last Update Date: | 02/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | BP00944337 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |