Individual
DR. KEVIN ANDREW BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1740 NW MAPLE ST, SUITE 111, ISSAQUAH, WA 98027
(425) 394-1200
(425) 394-0100
Mailing address
MS 315010, PO BOX 3947, SEATTLE, WA 98124-3947
(425) 688-5670
(425) 635-6388
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
MD60387536
WA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD86581
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2074986
—
WA
Enumeration date
04/24/2008
Last updated
06/27/2021
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