| Doctor Name: | MR. LARRY EUGENE KERSCHNER |
| NPI Number: | 1124059530 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | A.R.N.P. |
| License Number: | AP30001759 |
| Business Practice Address: | 402 North Main Street Pe Ell, WA - 985720158 |
| Business Phone Number: | 3602913232 |
| Business Fax Number: | 3602913144 |
| Mailing Address: | Po Box 158, 402 North Main Street PE ELL |
| State: | WA |
| Postal Code: | 985720158 |
| Phone Number: | 3602913232 |
| Fax Number: | 3602913144 |
| NPI Enumeration Date: | 07/05/2006 |
| NPI Last Update Date: | 02/04/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP30001759 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |