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Individual
KALEB OWEN MERRICK
Active
Individual
KALEB OWEN MERRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2681012
ID
207Q00000X
Family Medicine Physician
DO230091
OR
208D00000X
General Practice Physician
Primary
DO.OP.70025265
WA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/29/2023
Last updated
10/08/2026
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