MRS. Alice Virginia Kernizan, LPN
NPI #1801254255 in Amityville, New York
Provider Information
- NPI Number
- 1801254255
- Entity Type
- Individual
- Name
- MRS. Alice Virginia Kernizan, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Skilled Nursing Facility
- Credential
- LPN
- Enumeration Date
- Jan 31, 2016
- Last Updated
- Jan 31, 2016
Practice Location
- Address
- 81 MAPLE DR
- City
- Amityville
- State
- New York
- ZIP Code
- 11701-1732
- Phone
- (631) 355-2311
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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