Individual
JASON ANTHONY KERR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
307 W COTA ST, SHELTON, WA 98584-2265
(360) 205-8001
Mailing address
307 W COTA ST, SHELTON, WA 98584-2265
(360) 205-8001
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60909169
WA
Other
Enumeration date
02/24/2020
Last updated
12/17/2021
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