| Doctor Name: | MRS. ASHLEE O'KERNICK |
| NPI Number: | 1215309851 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 696 |
| Business Practice Address: | 1513 Harrison Ave Ste 18 Elkins, WV - 262413356 |
| Business Phone Number: | 3046370180 |
| Business Fax Number: | |
| Mailing Address: | Po Box 222, COALTON |
| State: | WV |
| Postal Code: | 262570222 |
| Phone Number: | 3046149901 |
| Fax Number: | |
| NPI Enumeration Date: | 10/22/2015 |
| NPI Last Update Date: | 10/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 696 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |