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Amelia Lucille Kernizan, MD
Diagnostic Radiology Physician in Charlotte, North Carolina
NPI 1558865949

Amelia Lucille Kernizan is a Diagnostic Radiology Physician based in Charlotte, NC and is specialized in Diagnostic Radiology. Amelia Lucille Kernizan practices in Charlotte, NC and has the professional credentials of MD. The NPI Number for Amelia Lucille Kernizan is 1558865949 and holds a License No. (North Carolina).

The current practice location address for Amelia Lucille Kernizan is 3623 Latrobe Dr Ste 216, Charlotte, NC and can be reached out via phone at 704-332-1291 and via fax at 704-926-1832.

Location: 3623 Latrobe Dr Ste 216, Charlotte, NC, 28222-1249
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558865949
Provider Name
Amelia Lucille Kernizan
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
3623 Latrobe Dr Ste 216, Charlotte, NC, 28222-1249
Phone Number
704-332-1291
Fax Number
704-926-1832
Provider Enumeration Date
03/20/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3623 Latrobe Dr Ste 216
City
Charlotte
State
North Carolina
Zip
28211-2117
Phone Number
704-332-1291
Fax Number
704-926-1832
person
Provider Business Mailing Address Details
Address
3623 Latrobe Dr Ste 216
City
Charlotte
State
North Carolina
Zip
28211-2117
Phone Number
704-332-1291
Fax Number
704-926-1832
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
2023-03378 (North Carolina)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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