Healthcare Provider Details

I. General information

NPI: 1407223530
Provider Name (Legal Business Name): CHRISTINE KEARNEY APRN CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CHRISTINE HEMMERICK

II. Dates (important events)

Enumeration Date: 08/24/2015
Last Update Date: 01/09/2023
Certification Date: 01/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4310 COOPER RD
CINCINNATI OH
45242-5613
US

IV. Provider business mailing address

4310 COOPER RD
CINCINNATI OH
45242-5613
US

V. Phone/Fax

Practice location:
  • Phone: 513-246-9799
  • Fax:
Mailing address:
  • Phone: 513-246-9799
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN407542
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0028402
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: