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Individual

MICHAEL C KERKERING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
624 E FRONT AVE, SPOKANE, WA 99202-2139
(509) 626-9900
Mailing address
PO BOX 31001-4114, PASADENA, CA 91110-0001
(866) 747-2455

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00034069
WA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
MD00034069
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8207557
WA
01
910987719
PREMERA
WA
Enumeration date
08/04/2006
Last updated
11/24/2025
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