MEDICARE: KERIANN DUNNING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	DI 60410648	WA

General Provider Information

NPI Number	:	1053858852
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KERIANN DUNNING

Provider Business Mailing Address
First Line	:	10701 NE MANITOU PARK BLVD
Second Line	:
City	:	BAINBRIDGE ISLAND
State	:	WA
Zip	:	98110-1336
Country	:	US
Telephone Number	:	425-308-9833
Fax Number	:

Provider Business Practice Location Address
First Line	:	10701 NE MANITOU PARK BLVD
Second Line	:
City	:	BAINBRIDGE ISLAND
State	:	WA
Zip	:	98110-1336
Country	:	US
Telephone Number	:	425-308-9833
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/31/2017
Last Update Date	:	02/14/2025

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Directions to “ KERIANN DUNNING ” Practice Location

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