Individual
KRISTEN GRACE BRADLEY KEREKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
5300 TALLMAN AVE NW, SEATTLE, WA 98107-3932
(206) 320-3514
(206) 781-6011
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP61014374
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2149564
—
WA
Enumeration date
05/17/2012
Last updated
05/26/2023
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