Individual
TARA KERR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
33501 1ST WAY S, FEDERAL WAY, WA 98003-6208
(253) 838-2400
Mailing address
33501 1ST WAY S, FEDERAL WAY, WA 98003-6208
(253) 838-2400
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD61212268
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2018
Last updated
10/05/2021
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