Individual
MS. REGINA S KEETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
509 OLIVE WAY, SUITE 620, SEATTLE, WA 98101-1720
(206) 343-3325
(206) 838-7330
Mailing address
509 OLIVE WAY, SUITE 620, SEATTLE, WA 98101-1720
(206) 343-3325
(206) 838-7330
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60303836
WA
Other
Enumeration date
09/20/2012
Last updated
09/20/2012
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