Healthcare Provider Details

I. General information

NPI: 1992325419
Provider Name (Legal Business Name): KERI JINJU ROWLEY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KERI JINJU LAWRENCE

II. Dates (important events)

Enumeration Date: 04/24/2020
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21822 76TH AVE W
EDMONDS WA
98026-7900
US

IV. Provider business mailing address

7703 FLOYD CURL DR
SAN ANTONIO TX
78229-3901
US

V. Phone/Fax

Practice location:
  • Phone: 425-775-7166
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberMD70003992
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: