Provider Demographics
NPI:1699936773
Name:KERNAGHAN, JAIME LEIGH (LMFT)
Entity type:Individual
Prefix:MS
First Name:JAIME
Middle Name:LEIGH
Last Name:KERNAGHAN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15438 FOSTER ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66223-2870
Mailing Address - Country:US
Mailing Address - Phone:913-406-1907
Mailing Address - Fax:
Practice Address - Street 1:15438 FOSTER ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66223-2870
Practice Address - Country:US
Practice Address - Phone:913-406-1907
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-20
Last Update Date:2019-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS931106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist