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Individual

DR. GORDON W. KEATING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1906 FEDERAL AVE EAST, SEATTLE, WA 98102-4239
(206) 320-9100
(206) 320-9099
Mailing address
1906 FEDERAL AVE EAST, SEATTLE, WA 98102-4239
(206) 320-9100
(206) 320-9099

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD00011867
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
K077
REGEANCE BLUE SHIELD
WA
Enumeration date
10/02/2006
Last updated
07/08/2007
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