Healthcare Provider Details

I. General information

NPI: 1669882924
Provider Name (Legal Business Name): CARA KERCHNER RN,BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2014
Last Update Date: 05/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1325 STAHLHEBER RD
HAMILTON OH
45013-1913
US

IV. Provider business mailing address

5334 MEADOW BREEZE DR
LIBERTY TWP OH
45011-1310
US

V. Phone/Fax

Practice location:
  • Phone: 513-868-5590
  • Fax: 513-868-5595
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License NumberRN297926
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: