Individual
MS. SHERI LARAE MCKERNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
206 VIRGINIA ST, KELSO, WA 98626-1426
(360) 433-1302
Mailing address
206 VIRGINIA ST, KELSO, WA 98626-1426
(360) 433-1302
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60250659
WA
Other
Enumeration date
07/29/2013
Last updated
07/29/2013
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