Individual
KEITH W. VAN METER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
1959 NE PACIFIC ST # 356158, SEATTLE, WA 98195-6158
(206) 548-8412
(206) 598-6986
Mailing address
1959 NE PACIFIC ST # 356158, SEATTLE, WA 98195-6158
(206) 598-8412
(206) 598-6986
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00068957
WA
363LA2200X
Adult Health Nurse Practitioner
Primary
AP30003468
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0161862
LABOR & INDUSTRY
WA
01
—
26859U
REGENCE BLUESHIELD
WA
05
—
9634163
—
WA
Enumeration date
07/18/2006
Last updated
04/30/2013
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