Organization
KERECIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH SMITH (EXECUTIVE VICE PRESIDENT)
(703) 287-8752
Entity
Organization
Contact information
Practice address
2300 CLARENDON BLVD STE 1210, ARLINGTON, VA 22201-3300
(703) 328-9091
(703) 287-8752
Mailing address
2300 CLARENDON BLVD STE 1210, ARLINGTON, VA 22201-3300
(703) 328-9091
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
01/29/2021
Last updated
01/29/2021
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