Individual
DR. WALTER F KERWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1775 THOMPSON RD, COOS BAY, OR 97420-2125
(541) 269-8111
Mailing address
8631 W 3RD ST STE 1017E, LOS ANGELES, CA 90048-5913
(310) 289-0141
(310) 289-0144
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G75336
CA
207RC0001X
Clinical Cardiac Electrophysiology Physician
66875
AZ
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
MD199312
OR
207RC0001X
Clinical Cardiac Electrophysiology Physician
MD2018-0760
NM
207RC0001X
Clinical Cardiac Electrophysiology Physician
TP335
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457397556
—
WI
05
—
500717106
—
OR
Enumeration date
06/20/2006
Last updated
02/08/2023
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