Spoonemore, Kerrie J.

Spoonemore, Kerrie J. is an individual health care provider with primary practice located at 3216 Ne 45Th Pl Suite 203, Seattle WA 98105-4093. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Spoonemore, Kerrie J. can be contacted via phone (205) 525-1168.

Contact Information

Primary practice address
3216 Ne 45Th Pl Suite 203 Seattle WA 98105-4093
Fax: (206) 525-1169
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD00044804 Washington

Profile Details

NPI number 1063401305
LBN Legal business name Spoonemore, Kerrie J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2005
Last updated Sep 7th, 2016 - about 8 years 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 1063401305 NPPES
Washington MEDICAID 8433757

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