Individual
MATTHEW C. KEIFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00020882
WA
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
55074
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
136695
L & I
WA
01
—
4597KE
REGENCE
WA
01
—
8602971
CHPW
WA
05
—
8602971
—
WA
01
—
911019392
COMMERCIAL
—
Enumeration date
10/13/2006
Last updated
04/18/2011
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