Individual
JEFFREY EDWARD KEENAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD61058588
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2161025
—
WA
Enumeration date
04/14/2011
Last updated
01/04/2022
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