Individual
MR. JOHN THOMAS KERRIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11315 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499-3004
(253) 985-6403
(253) 985-2948
Mailing address
1313 BROADWAY, SUITE 200, TACOMA, WA 98402-3400
(253) 426-6306
(253) 426-6344
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD00030834
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013194010
GROUP HEALTH COOPERATIVE
WA
01
—
0246538
STATE L&I
WA
01
—
050028289
RAILROAD MEDICARE
WA
01
—
050028289
RAILROAD MEDICARE
—
05
—
1086214
—
WA
01
—
192575000
OWCP
WA
01
—
36251
LABOR AND INDUSTRIES
WA
01
—
911577098
PREMEREA BLUE CROSS
WA
01
—
911577098-06
KITSAP PHYSICIANS SERVICE
WA
01
—
KE3250
REGENCE
WA
Enumeration date
12/19/2006
Last updated
08/21/2020
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