Individual
DR. MARIE A. KERNIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1101 MADISON ST, SUITE 301, SEATTLE, WA 98104-1306
(206) 505-1101
Mailing address
1101 MADISON ST, SUITE 301, SEATTLE, WA 98104-1306
(206) 505-1101
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00002054
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2011237
—
WA
Enumeration date
10/18/2005
Last updated
06/16/2021
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