Individual
MR. MATTHEW MICHAEL KERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
2401 E ST., NW SA-1, SUITE L209, WASHINGTON, DC 20037
(202) 663-1649
(202) 663-1613
Mailing address
2401 E ST., NW SA-1, SUITE L209, WASHINGTON, DC 20037
(202) 663-1649
(202) 663-1613
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN0014160
WA
363L00000X
Nurse Practitioner
Primary
AP0006796
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9642430
—
WA
Enumeration date
05/29/2007
Last updated
11/04/2022
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