Individual
KERRY ALAN BATEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
603 HUNT AVE, SUITE A, SUMNER, WA 98390-1117
(253) 863-0855
(253) 826-0511
Mailing address
603 HUNT AVE, SUITE A, SUMNER, WA 98390-1117
(253) 863-0855
(253) 826-0511
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00002090
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005128
DEPT. OF LABOR AND INDUST
WA
01
—
BA3922
REGENCE BLUESHIELD
WA
Enumeration date
11/09/2006
Last updated
01/17/2008
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