| Doctor Name: | KATHLEEN M FERNAN |
| NPI Number: | 1770584070 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.O. |
| License Number: | OS013170 |
| Business Practice Address: | 200 South Mill Street Ridgway, PA - 15853 |
| Business Phone Number: | 8147720722 |
| Business Fax Number: | 8147726934 |
| Mailing Address: | 200 South Mill Street, RIDGWAY |
| State: | PA |
| Postal Code: | 15853 |
| Phone Number: | 8147720722 |
| Fax Number: | 8147726934 |
| NPI Enumeration Date: | 08/09/2005 |
| NPI Last Update Date: | 09/25/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | OS013170 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |