Fitzgerald, Kerri R

Fitzgerald, Kerri R is an individual health care provider with primary practice located at 710 Birchwood Ave Ste 101 , Bellingham WA 98225-1720. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Fitzgerald, Kerri R can be contacted via phone (360) 676-0922.

Contact Information

Primary practice address
710 Birchwood Ave Ste 101 Bellingham WA 98225-1720
Fax: (360) 671-4726
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2004008958 Missouri
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD00048775 Washington

Profile Details

NPI number 1639127731
LBN Legal business name Fitzgerald, Kerri R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Jun 11th, 2024 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639127731 NPPES
Missouri Other 2004008958 MO LICENSE
Missouri Other MD00048775 MO LICENSE

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