Organization
KEY BRIDGE MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERBIE SALVADOR A BARRANTES DNP-ARNP (OWNER)
(253) 533-3838
Entity
Organization
Contact information
Practice address
11318 BRIDGEPORT WAY SW STE A, LAKEWOOD, WA 98499-3054
(253) 533-3838
Mailing address
PO BOX 5393, LACEY, WA 98509-5393
(253) 533-3838
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/02/2020
Last updated
01/28/2021
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