| Doctor Name: | MR. KENNETH J. KEROES |
| NPI Number: | 1003879214 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSW |
| License Number: | LW00005000 |
| Business Practice Address: | 7526 Eaglefield Dr Arlington, WA - 982235987 |
| Business Phone Number: | 2069416174 |
| Business Fax Number: | 4253044088 |
| Mailing Address: | 7526 Eaglefield Dr, ARLINGTON |
| State: | WA |
| Postal Code: | 982235987 |
| Phone Number: | 2069416174 |
| Fax Number: | 4253044088 |
| NPI Enumeration Date: | 04/10/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LW00005000 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |