Individual
KERRY MAUREEN MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1708 YAKIMA AVE, STE 202, TACOMA, WA 98405-5307
(253) 426-6878
(253) 426-4254
Mailing address
1708 YAKIMA AVE, STE 202, TACOMA, WA 98405-5307
(253) 426-6878
(253) 426-4254
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
MD00048042
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0266435
L&I
WA
01
—
0266443
L&I
WA
05
—
8476772
—
WA
Enumeration date
04/20/2007
Last updated
11/05/2012
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