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Individual
KEITH T PAIGE
Active
Individual
KEITH T PAIGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD00036238
WA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
MD00036238
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039572
LABOR & INDUSTRY
WA
01
—
240007287
RAILROAD MEDICARE
—
05
—
8229619
—
WA
01
—
MD8236
ALASKA MEDICAID
WA
01
—
PA0297
BLUE SHIELD
WA
01
—
US1037407
AETNA/USHC SPECIALIST
WA
Enumeration date
08/14/2006
Last updated
06/15/2026
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