Provider Demographics
NPI:1215309851
Name:O'KERNICK, ASHLEE (PA-C)
Entity type:Individual
Prefix:MRS
First Name:ASHLEE
Middle Name:
Last Name:O'KERNICK
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:ASHLEE
Other - Middle Name:
Other - Last Name:TOPPING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 222
Mailing Address - Street 2:
Mailing Address - City:COALTON
Mailing Address - State:WV
Mailing Address - Zip Code:26257-0222
Mailing Address - Country:US
Mailing Address - Phone:304-614-9901
Mailing Address - Fax:
Practice Address - Street 1:1513 HARRISON AVE STE 18
Practice Address - Street 2:
Practice Address - City:ELKINS
Practice Address - State:WV
Practice Address - Zip Code:26241-3356
Practice Address - Country:US
Practice Address - Phone:304-637-0180
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-22
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV696363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical